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First of all, you should have an amiable attitude, and then tell the patient not to be nervous, keep the body relaxed, and tell the patient about the situation and pay attention after the measurement! The specific method of measuring blood pressure is very clear.
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Measuring blood pressure is a normal medical treatment, and what else needs to be explained.
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Standing blood pressure is higher than sitting, sitting is higher than falling asleep, no exercise before 30 minutes, eating no cold or hot food.
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Rest for 5 minutes before measuring blood pressure, relax, preferably at 10 o'clock in the morning
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1 Measurement site: It is often measured at the brachial artery of the elbow fossa of the upper limb, and the artery of the leg fossa of the lower limb can also be removed.
2 Materials: sphygmomanometer, stethoscope.
3 How to Operate:
Before the measurement, the patient is given a 15-minute rest to eliminate the effects of exertion or stress on blood pressure.
Let the patient take a sitting or lying position, expose the right arm or left arm, roll up the sleeves to the shoulders, the cuffs should not be too tight, so as not to affect the blood flow, when the clothing is thick, take off one piece, straighten the elbows, and palm up.
Flatten the sphygmomanometer, drain the air in the cuff, wrap it in the middle of the upper arm smoothly and without folding, and the elastic should be a wonderful finger. Too tight can compress the blood vessels before they are inflated, making the measured blood pressure low; Too loose can make the air pocket balloon-shaped, which narrows the effective measurement area and makes the measured blood pressure high. The middle of the air bag should be in the cubital fossa, so that the pressure is just on the artery when inflated, the lower edge of the cuff is 2-3 cm above the cubital fossa, and the end is neatly tucked into the inner ring, and the mercury groove switch is turned on.
Put on a stethoscope and feel the brachial pulse point on the medial aspect of the cubital fossa. Place the stethoscope head close to the brachial artery of the cubital fossa, gently pressurize, fix it with your hand, close the valve screw cap on the balloon with the other hand, and hold the balloon direction.
Pump in the cuff until the brachial pulse sound disappears, then raise by another 20 to 30 mmHg, then slowly release the valve at a rate of 2 to 5 mmHg per second, slowly lowering the Hg and noting the scale to which the Hg refers. When sleeves.
When the intraband pressure gradually decreases to equal the contractility of the heart, blood can pass through the compressed artery during the contraction of the heart, and the first pulse is heard from the stethoscope, at which point the scale of the mercury finger is called the systolic blood pressure. Then the fluctuating sound continued.
Present and increase, when the pressure in the cuff is equal to the diastolic pressure, the pulsatile sound suddenly weakens or disappears, at which point the scale referred to by the mercury column is diastolic.
The measured values are recorded using a fractional formula, i.e., systolic blood pressure diastolic blood pressure mmhgWhen dictating blood pressure values, systolic blood pressure should be read first, followed by diastolic blood pressure.
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1. Choose the right blood pressure monitor: Generally, the most commonly used is a mercury column sphygmomanometer, and barometer sphygmomanometers and electronic sphygmomanometers are also commonly used. The width of the cuff of the sphygmomanometer should be able to cover 2 3 of the length of the upper arm, and the length of the cuff should be 2 3 of the circumference of the upper arm.
If the cuff is too narrow, the blood pressure value is high, and if the cuff is too long, the blood pressure value is low.
2. Choose the appropriate pressure measurement environment: the patient should rest for 5-10 minutes in a quiet and appropriate temperature environment, and should not be overly restrained between the sleeves and arms, so as to avoid pressure measurement in a state of stress, such as full shoulders or smoking, cold, and drinking coffee.
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