Blood Pressure

Question 1

Indications 1

Answer 1

All patients over 3

Question 2

Indications 2

Answer 2

Every 5 minutes for ALS or Unstable patients and 15 mins for BLS stable patients

Question 3

Contraindications

Answer 3

Examine the extremity for port, dialysis shunts, central lines, mastectomy or injury to the arm.

Question 4

Procedure 1

Answer 4

Standard precautions PPE

Question 5

Procedure 2

Answer 5

Explain the procedure to the patient reminds them not to move w/out instruction

Question 6

Ausculatation 1

Answer 6

Apply proper size cuff to proximal extremity

Question 7

Ausculatation 2

Answer 7

Palpate the brachial artery (antecubital) and place the stethoscope at that location

Question 8

Ausculatation 3

Answer 8

Inflate the cuff until the pulse beat is no longer audible. Continue 30 mmhg higher than that pt.

Question 9

Ausculatation 4

Answer 9

Slowly release the air from the cuff until the first pulse beat is heard (systolic)

Question 10

Ausculatation 5

Answer 10

Continue deflating the cuff until the pulsation diminish or become muffled (diastolic)

Question 11

Ausculatation 6

Answer 11

Obtain and record findings (systolic and diastolic)

Question 12

Palpation 1

Answer 12

Apply proper size cuff to proximal extremity

Question 13

Palpation 2

Answer 13

Palpate the radial artery or brachial anticubital

Question 14

Palpation 3

Answer 14

inflate the cuff until the pulse beat is no longer palpable. Continue 30 mmhg higher than that point

Question 15

Palpation 4

Answer 15

Slowly release the air from the cuff untill the first pulse beat is palpated (systolic)

Question 16

Palpation 5

Answer 16

Obtain and record findings. (systolic/P)

Question 17

Orthostatic BP 1

Answer 17

Obtain BP and pulse rate when patient is lying supine

Question 18

Orthostatic BP 2

Answer 18

With the patient sitting upright, legs dangling, wait 30 to 60 seconds and repeat BP and pulse

Question 19

Orthostatic BP3

Answer 19

A drop in systolic BP of 10 mmHG or greater or an increase in pulse of 10 or greater beats per minute indicates positive orthostatic change.