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How To Take Blood Pressure With Stethoscope

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Using a stethoscope to determine blood pressure

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Where Should The Stethoscope Be Placed

Once you understand why you need a stethoscope when taking blood pressure, it is also essential to be familiar with how it should be placed. The diaphragm must be placed flat against the skin, on the arm of the patient. The circumference of the diaphragm must be just underneath the cuff, and be positioned over the artery. Only after the diaphragm is in place should the ear pieces of the stethoscope be placed in the ears to start listening to the blood flow. The head of the stethoscope must not be held down with the thumb, as the thumb has its own pulsation. This might interfere with taking s proper measurement.

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Working With Your Doctor Or Nurse

You wont usually make a decision about treatment based solely on the readings you have taken at home. But they may find it useful to know what youre blood pressure is like when youre away from the clinic.

Talk to your doctor or nurse before you start to measure your blood pressure at home. They advise you on when to measure your blood pressure and how often, and this can help you both to be clear about what you are doing and why.

Bring your records with you to your appointments so they can use it to review your treatment.

Make sure your monitor is suitable and you know how to use it

It is a good idea to bring your monitor to the appointment so that your doctor or nurse can check that it is validated and accurate, that it fits properly, and that you know how to use it. They can show you if youre not sure.

Read more

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How To Use An Automated Blood Pressure Machine

The easiest way to take your own blood pressure is to purchase an automated cuff. Automatic blood pressure machines are the easiest to use, and theyre helpful if you have any hearing impairments.

These types of blood pressure cuffs have a digital monitor that will display your blood pressure reading on a screen. You can purchase these online, at most grocery stores, or at a health food store.

The American Heart Association recommends an automatic, upper arm blood pressure monitor for at-home use. To use your digital blood pressure monitor, follow the instructions that come with it. You can also take the monitor to your doctors office, or even your local pharmacy, for a demonstration.

You should also purchase a small notebook to start a blood pressure log. This can be helpful for your doctor. You can a free blood pressure log from the AHA.

Machines can give you a different reading than a manual blood pressure reading. Bring your cuff to your next doctors appointment so you can compare the reading from your cuff to the reading your doctor takes. This can help you calibrate your machine and identify levels you should look for on your own device.

Its also important to purchase a high-quality machine and monitor for errors. Even if you check your blood pressure at home, your doctor will still want to manually check it during appointments.

How Can I Check My Blood Pressure At Home Using

Manual Blood Pressure Monitor Diastolic Sphygmomanometer Medical Doctor ...

But you dont need to go to your doctor just to get a blood pressure reading. The easiest way to monitor your own blood pressure at home is to get a machine that has a blood pressure calculator and digital display.

Purchase a blood pressure monitor cuff that wraps around the upper arm. The cuff should fit well, and not be too loose or too tight when not in use. Wrist and finger monitors are not recommended because the readings arent as reliable. When choosing a blood pressure monitor, take it to your doctors office. They may be able to show you how to use it properly and check whether the machine provides accurate readings.

Here are some tips to follow while measuring your blood pressure at home:

  • Before measuring your blood pressure, sit quietly for 5 minutes with your arm relaxed on a supporting surface at the level of your heart.
  • Your back should be supported and both feet should be flat on the floor.
  • The cuff should be positioned on your upper arm as instructed on the guide that came with the monitor. It is easier to use your non-dominant arm .
  • Avoid caffeine, smoking, or exercise at least 30 minutes before measuring your blood pressure. Do not take a reading if stressed or angry.

Blood pressure categories defined by the American Heart Association are as follows:

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Which Side Is More Accurate For Blood Pressure

There is no definitive answer to this question as different people may have different opinions. Some people may find that the blood pressure readings on the left side of their body are more accurate, while others may find that the readings on the right side are more accurate. Ultimately, it is up to the individual to determine which side is more accurate for them.

If your blood pressure is under your left or right arm, you will notice improvements. The majority of your organs, including the blood vessels, are asymmetrically arranged inside your body. After repeated blood pressure measurements, it is possible to diagnose high blood pressure. It is critical to monitor blood pressure on a regular basis because it can fluctuate by up to 20 minutes. The aortic valve, which is the largest blood vessel in the body, runs from the left side of the heart to the right. When there is an artery clot in the left subclavian, the likelihood of stroke increases fourfold. Normal blood pressure levels are 5 mmHg or less between the left and right arms.

What Steps Should I Take While Checking My Blood Pressure At Home

Before taking your blood pressure

  • Find a quiet place.
  • Check to be sure you have the correct size cuff. If you are not sure, or if you have questions, talk to your healthcare provider.
  • Roll up the sleeve on your left arm or remove any tight-sleeved clothing, if needed.
  • Rest in a chair next to a table for 5 to 10 minutes.
  • Sit up straight with your back against the chair, legs uncrossed and on the ground.
  • Rest your forearm on the table with the palm of your hand facing up.
  • You should not talk, read the newspaper, or watch television during this process.

Taking your blood pressure

If you buy a manual or digital blood pressure monitor , follow the instruction booklet carefully.

Record your blood pressure

If you have been asked to record your blood pressure and bring your readings to the office, please write down the date, time of day, systolic and diastolic numbers, heart rate, and which arm you took the reading on. If you are taking part in a program that has remote monitoring, your blood pressure readings are automatically shared with your medical provider. If you are unsure, please ask your provider.

Last reviewed by a Cleveland Clinic medical professional on 10/23/2018.

References

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How To Take Blood Pressure Manually

This article was co-authored by Michael Corsilles, ND. Dr. Corsilles is a Naturopath and a Physician Assistant in Washington. He completed his Naturopathic medical training at Bastyr University in 2003, and received his Physician Assistant certification from the University of Washington in 2010.There are 12 references cited in this article, which can be found at the bottom of the page.wikiHow marks an article as reader-approved once it receives enough positive feedback. This article received 15 testimonials and 81% of readers who voted found it helpful, earning it our reader-approved status. This article has been viewed 622,667 times.

If you or someone you know is at risk for high or low blood pressure, you may want to invest in a manual blood pressure kit for home use. Learning how to take your blood pressure manually may take a little practice, but it is actually quite easy once you learn how. You’ll need to know what to wear, when to take your blood pressure, how to take it accurately, and how to interpret the results. With a little practice you’ll know how to find your systolic and diastolic pressure readings and what those numbers actually mean.

Stethoscope Usage And Korotkoff Sounds

How to Take a Blood Pressure Manually | The Correct Way!

The stethoscope is used on bare skin so that a clients clothing does not affect the sounds. The stethoscope does not make sounds louder it simply blocks out extraneous noises so you can better hear the Korotkoff sounds. These sounds are heard through a stethoscope applied over the brachial artery when the blood pressure cuff is deflating. You will not hear anything when you first place the stethoscope over the brachial artery because unobstructed blood flow is silent. The Korotkoff sounds appear after you inflate the cuff and then begin to deflate the cuff. The Korotkoff sounds are the result of the turbulent blood caused by the inflated cuff compressing the artery and oscillations of the arterial wall when the heart beats during cuff deflation.

Here are a few tips:

  • Use a high quality stethoscope with durable, thick tubing. Avoid stethoscopes with long tubing because this can distort sounds.
  • Ensure quiet surroundings so that you can better hear the Korotkoff sounds.
  • Make sure that the slope of the stethoscope earpieces point forward or toward your nose.
  • Use a stethoscope that has both bell and diaphragm capacity. See Figure 5.4 for bell and diaphragm.

Film clip 5.2: Opening and closing the bell and diaphragm

Alternatively, if viewing textbook as a PDF, use this link: https://www.youtube.com/embed/rp_4h-tCmvs?rel=0

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How Often Should You Take Your Blood Pressure

Scinetist from Harvard Medical School recommend you to take your blood pressure twice a day for a week. The first reading should take place early in the morning, before taking any medication, and the second, later in the evening. Then, keep on doing it twice a month, unless your doctor advice you differently.

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How Do You Take Blood Pressure At Home

4 Steps to Take Your Own Blood Pressure at Home with Ease & Accuracy Step 1: Settle down, and sit comfortably. Step 2: Use your device to take 2 or 3 readings. Step 3: Record your results. Step 4: Repeat daily. To really control your blood pressure, you really have to be active in your pursuit of good health!

How To Take Manual Blood Pressure With A Stethoscope

How To Take Blood Pressure With Cuff And Stethoscope

If youre interested in learning how to take manual blood pressure with a stethoscope, there are a few things you should know. First, its important to have the right equipment. Youll need a blood pressure cuff and a stethoscope. Youll also need a sphygmomanometer, which is a device that measures blood pressure. To take your blood pressure, start by wrapping the cuff around your upper arm. Make sure the cuff is snug, but not too tight. Then, place the stethoscope in your ear and listen for the sound of your heartbeat. When you hear your heartbeat, inflate the cuff until you can no longer hear your heartbeat. At this point, youve inflated the cuff enough. Next, deflate the cuff slowly. As you deflate the cuff, youll notice that your blood pressure reading will appear on the sphygmomanometer. The top number is your systolic blood pressure, and the bottom number is your diastolic blood pressure. If youre interested in learning more about how to take manual blood pressure with a stethoscope, there are a number of resources available online.

If you want, you can also measure your blood pressure by hand. This is a more difficult option to make. This method of measuring blood pressure requires a blood pressure cuff, a squeezable balloon, an aneroid monitor, and a stethoscope.

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A Step By Step Guide On How To Take A Blood Pressure Measurement

Step 1

  • Introduce yourself and verify patient identity using your clinical setting protocol.
  • Obtain consent from the patient for the assessment and explain the procedure.
  • Ensure that the patient has not had caffeine or tobacco in the last 30 minutes.
  • The patient should be allowed to rest for 5 minutes following activity.
  • Prepare the environment by making the room quiet, ensure patient privacy and equipment is intact and clean. Blood pressure is measured indirectly with a stethoscope or doppler and a sphygmomanometer. A sphygmomanometer includes the blood pressure cuff, connection tubes, air pump and manometer.
  • Perform hand hygiene.

Step 2

Choose a measurement site:

  • The preferred site is the brachial pulse site where the brachial artery runs across the antecubital fossa.
  • Another site is the posterior thigh, where the popliteal artery runs behind the knee joint.
  • A site should be free from pain, injury, surgical incisions, intravenous cannulas, central venous or arterial lines, areas with poor perfusion, arteriovenous fistulas or AV shunts. This reduces the risk of patient harm and helps to ensure result accuracy.

Step 3

Position the patient either sitting, standing, supine or prone depending on your choice of measurement site.

Step 4

Palpate the artery to determine the systolic BP:

Step 5

Position the stethoscope over the brachial artery and use the bell side.

Step 6

Advise the patient of the result.

Step 11

Clean and return the equipment.

Step 12

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Can Blood Pressure Be Taken Manually

Yes, blood pressure can be taken manually by using a sphygmomanometer, which is a device that consists of an inflatable cuff, a mercury or aneroid manometer, and a stethoscope. The cuff is placed around the upper arm and inflated to compress the artery underneath. The mercury or aneroid manometer is used to measure the pressure in the cuff, and the stethoscope is used to listen for the Korotkoff sounds, which are the sounds of blood flow through the artery.

JEMS: Emergency Medical Services Training, Paramedic, EMT News, and JEMS: Techniques are some of the techniques used to take a manual blood pressure. The following steps will assist you in obtaining the best results from your aneroid sphygmomanometer. It is critical to avoid common cuff errors as well as to place the cuff correctly on the skin. The cuff should be inflated to 30 mmHg above the palpated systolic pressure. If the pulse returns, keep the pressure on until it returns, and then check the sphygmomanometer. It has been shown that the auscultatory gap contributes to severe vascular disease as well as chronic hypertension.

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