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JLNURS526 U3 > Hypertension- Definitions > Flashcards

Hypertension- Definitions Flashcards

1
Q

AOBP

Automated office blood pressure (AOBP) - what is it

A

AOBP- in office oscillometric device that takes multiple readings

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2
Q

AOBP

When is AOBP used

A

it is the preferred method for taking in office readings

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3
Q

AOBP

Where should the lower edge of the cuff be placed

A

3cm above elbow with bladder centered over brachial artery

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4
Q

AOBP

What is the rest period before starting AOBP

A

NONE

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5
Q

AOBP

The arm should be _ and _ at _ level

A

bare arm supported at heart level

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6
Q

AOBP

What can happen if the arm is too low?

A

too low- higher SBP and DBP

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7
Q

AOBP

When taking BP patients should _ and _

A

not be talking and not have legs crossed

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8
Q

AOBP

Explain process of AOBP

A
  1. pt in quiet room
  2. device takes readings every 1-2 min
  3. first measurement taken by HCP to verify cuff position and validity
  4. follwing readings taken with patient left alone
  5. average BP will be displayed
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9
Q

AOBP

What 4 things should be recorded?

A
  • average BP reading
  • pt position (supine, standing sitting)
  • which arm
  • HR
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10
Q

OBPM

What is OBPM?

A

refers to BP readings done in office but provider is present unlike AOBP

AOBP preferred over this method

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11
Q

OBPM

What device is used?

A

electronic device

that is validated

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12
Q

OBPM

Usually done with electronic cuff but if using manual how do you measure cuff?

bladder width should be _% of arm
bladder length should cover _% of arm

A

bladder width should be close to 40% of arm circumference and length should cover 80-100% of arm circumference

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13
Q

OBPM

Position of cuff on arm?

A

lower edge 3cm above elbow, bladder centered over brachial artery

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14
Q

OBPM

arm should be _ and _ at _ level

A

bare arm supported at heart level

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15
Q

OBPM

What impact does arm being too low have?

A

increased SBP and DBP

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16
Q

OBPM

Patient should not _ and _

A

no talking, no legs crossed

17
Q

OBPM

Waiting period before taking BP

A

5 mins sitting with back supported

18
Q

OBPM

What should happen to the first reading?

A

discarded

19
Q

OBPM

After first reading is discarded what is next step

A

next two readings should be averaged

20
Q

OBPM

What position should BP be taken

A

seated and standing

stand for 2 mins before taking

21
Q

OBPM

In what 3 situations are supine BPs helpful

A
  1. pts reported s/s of postural hypotension
  2. elderly pts
  3. diabetic pts
22
Q

OBPM

When should bilat BPs be taken?

A

On at least one visit

23
Q

OBPM

If BP is higher in one arm consistently which arm should be used for subsequent BP measurements

A

the arm that has the higher BP

24
Q

ABPM

What is ambulatory blood pressure monitoring (ABPM)

A

24 hour automatic readings done at home q20-30 mins

25
Q

ABPM

Which arm should the cuff go on?

A

non-dominant arm

unless one arm has consistently higher readings then use that arm

26
Q

ABPM

How long is the cuff worn and how often are measurements taken?

A

24 hours, q20-30 mins day and night

27
Q

ABPM

What should pt be recording during the 24 hours

4

A

diary of when awake/asleep activites
s/s
when take meds

28
Q

ABPM

What should determine night and day time when interpreting readings

A

pts diary recordings

if not recorded use 8am for wake up and 10pm for sleep

29
Q

ABPM

What is dipping percentage?

A

The % the average BP changed from day to night

30
Q

ABPM

2 criteria for successful ABPM

A
  • at least 70% readings successful
  • at least 20 daytime and 7 night time readings successful
31
Q

HBPM

What is home blood pressure monitoring (HBPM)

A

use of electronic BP device at home but not automated 24 hour one

ABPM preferred over HBPM for dx

32
Q

HBPM

Which arm should be used

A

non dominant unless other arm is consistently higher

33
Q

HBPM

Rest period before starting?

A

5 minutes sitting with back supported

34
Q

HBPM

Arm shoud be _ and _ at _ level

A

bare arm supported at heart level

35
Q

HBPM

When should measurements be taken?

3

A

before breakfast
2 hours after dinner
before meds taken

36
Q

HBPM

What should be avoided 30 mins before taking reading?

1

A

exercise

37
Q

HBPM

What should be avoided 1 hour before readings?

2

A

smoking
tobacco

38
Q

HBPM

What is the format for readings?

A

2 readings every morning and evening for 7 days

total 28 measurements

39
Q

HBPM

How are readings interpreted?

A

averaged excluding 1st days readings

JLNURS526 U3 (62 decks)

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