Blood Pressure Flashcards
In the neck, medial to and below the angle of the jaw
Carotid
Medial to the biceps tendon (inner bend of elbow)
Brachial
Medial and ventral to the wrist
Radial
Inferior to the inguinal ligament; if patient is obese, midway
between anterior superior iliac spine and pubic tubercle (press
harder than in most areas)
Femoral
Popliteal fossae (back of the knee); press firmly
Popliteal
Medial dorsum (top of foot) with foot slightly dorsiflexed. May be hard to feel and may be absent, even in some well patients)
Dorsalis pedis
Behind and slightly inferior to medial malleolus of ankle
Posterior tibial
Normal Adult Respiratory Rate
12-20 breaths per min
Normal Respiratory Rate for Elderly 65-80 years old
12-28 breaths per minute
Normal Respiratory Rate for Elderly >80 years old
10-30 breaths per min
Normal Respiratory Rate for Newborns
30-40 breaths per min
Normal Respiratory Rate for Infants to 6 months
25-40 breaths per min
Normal Respiratory Rate for 6 months to 3 years
20-30 breaths per minute
Normal Respiratory Rate for 3-6 years old
18-25 breaths per minute
Normal Respiratory Rate for 6-10 year olds
17-23 breaths per minute
a measure of the force that blood exerts against the arterial wall and serves as
an important measure of cardiovascular function and of risk for cardiovascular morbidity and
premature mortality
Blood Pressure
the pressure exerted on the arterial wall as the
heart contracts
systolic pressure
the resting pressure between heartbeats. In
general, the lower the systolic and diastolic pressures are the better
diastolic pressure
Normal BP
< 120
AND
<80
recheck in 1 year
Elevated BP
120-129
AND
<80
recheck in 3-6 months
Stage 1 Hypertension
130-139
OR
80-89
recheck in 3-6 months if NO clinical ASCVD or CVD risk –> lifestyle change
recheck in 1 month if clinical ASCVD or estimated CVD risk –> antihypertensive medication + lifestyle modifications
Stage 2 Hypertension
> = 140
OR
> =90
Recheck in 1 month –> usually 2 antihypertensive medications + lifestyle modifications
measurement of pulsations created by blood flow
oscillometry
auscultation
listening–more accurate
sounds produced by
the arterial wall in response to increasing and decreasing pressures
Korotkoff
Inflation of the cuff compresses the
artery and
increases resistance to blood flow
onset of tapping sounds
phase I korotkoff sound
murmur or swishing quality of the sounds
phase II korotkoff sound
sounds disappear and then reappear
auscultatory gap
distinct tapping
phase III
muffling of tapping sounds
phase IV
disappearance of sounds
phase V