Since my patient had an arm circumference of between 35 and 44 cm, I used an appropriate cuff size of 16 by 36 cm. Studies show that electronic digital sphygmomanometer significantly increases precision by reducing statistical errors (Padwal & Ringrose, 2018).The British and Irish Hypertension Society recommends a bladder length and cuff width of approximately 80% and 46% respectively of the patient’s arm circumference to reduce errors (Muntner et al., 2019). I performed the second measurementusing electronic digital sphygmomanometer. Based on robust evidence, a sphygmomanometer is regarded as a standard device for measuring blood pressure (Seongll et al., 2018). ![]() My tool of choice for measurement of blood pressure was the sphygmomanometer. Waiting for 25 minutes may not be feasible especially in situations where there are limited resources and a high number of patients hence explaining why I allowed a rest of between 3-5 minutes.Īccording to NMC guidelines, a carer is required to select a diagnosis tool that accurately detects what is being diagnosed (NMC, 2018). Such findings question whether the examination of blood pressure can be effectively made during routine outpatient visits. However, some studies suggest that five minutes resting time is not enough and recommend periods of up to 25 minutes (Mahe et al., 2017). ![]() Typically, the rest period reduces anxiety and allows significant drop in blood pressure of up to 75% within the first 10 minutes (Levy et al., 2016). Place an orderīefore taking blood pressure measurements, The British and Irish Hypertension Society recommends that a patient should be allowed to rest quietly and comfortably for a period of between 3-5 minutes (Williams et al., 2018). Our professional writers are here to help you. Since the blood pressure was high, I referred the patient for further analysis and management. I then pressed the exhaust button to release the air from the cuff and repeated the measurement after 2 minutes using a sphygmomanometer to improve my accuracy. I wrapped the cuff around the patients left arm, turned on the power and recorded the reading as180/114 to affirm my earlier readings. After waiting for a few minutes, I took the second measurement using an automatic sphygmomanometer. On further deflation, I listened to the heartbeat stop at some point and recorded the reading as diastolic pressure180/120. I recorded the reading on the sphygmomanometer as the systolic pressure when I heard the first knocking sound with the stethoscope. I then rapidly inflated the cuff of size 16 by 36 cm to 180mmHg, which is within the range of a normal person’s systolic pressure and released air at a moderate rate of 3mm/sec. Then using one hand, I positioned the stethoscope so that it was over the brachial artery. I then wrapped the patient’s upper arm, one inch above the antecubital fossa, with the cuff and located the brachial artery. Since the patient was in a seated position, I ensured that her arm was flexed and her elbow was at the same level as the heart.I waited for four minutes for the patient to rest before initiating the measurement process. I confirmed that the cuff was of the right size for the patient arms circumference. I also informed the consent and asked her if she had any concern or preferences. First, I welcomed the patient, informed her about my intentions. To measure the manual blood pressure, I used the sphygmomanometer and the stethoscope. Consequently, my practice was highly influenced by professional values outlined in local policies and the NMC.In this regard, the report is a reflection of how I applied the blood pressure diagnosis skill in my clinical practice and how the experience impacted my nursing practice. ![]() My approach is affirmed by the existing literature, which offers key insights about the process. In the exercise I carried out a systematic process involving, wrapping a cuff, pressing the stethoscope, inflating the cuff, listening to the stethoscope and taking measurements. As such, in my clinical practice I applied the blood pressure diagnosis skill. As a nurse professional I must be full equipped with appropriate skills to offer the right services to my clients.
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