Lecture with Professor

Question 1

BP is an___________ measure because you can’t measure the actual pressure in the heart when its contracting and filling that’s really not feasible so its an indirect measure

Answer 1

indirect

Question 1

Dependent on 2 things?

Answer 1

Cardiac output and resistance

Question 2

If you just put a stethoscope on your arm am I going to hear anything why am I not going to hear anything its just flowing… you won’t hear anything until you inflate that cuff and it occludes the brachial artery and then as you release the pressure in that cuff then you start to hear it again and its just based on normal flowing your not going to hear anything it’s the pressure and it’s the resistance that is made by inflating the cuff that will allow you to hear the blood pressure and so the air into the cuff raises the pressure in the cuff.

Question 3

The point where it disappears is your _______________

Answer 3

diastolic

Question 4

The point where you hear two consecutive beats that’s your __________

Answer 4

systolic

Question 5

Questions for the patient?

Have you had any caffeine or energy drinks in the last 30 minutes?
Have you done any physical activity or worked out in the last 30 to 60 minutes?
Have you smoking anything prior to coming in the last 30 minutes?

Question 6

_________, ___________, physical are the 3 things to ask you patients?

How are you feeling? (Whats impacting your day?, you stressed)

Answer 6

caffeine, smoking

Question 7

Don’t ask pt what there blood pressure is normally is because of bias

Question 8

The cuff is over the __________ part of the arm,the bicep so we are below the deltoid and here they are a couple itches away from the armpit which I typically like to put a cuff on higher because it allows me to put the stethoscope on a bare arm without touching the bottom of the cuff

Answer 8

largest

Question 9

If put a cuff too low and you put your stethoscope under a bare arm without touching the bottom of the cuff

If you put a cuff too low and you put a stethoscope under it then your going to hear it…its going to scratchy…its going to make some muffled sounds and you can miss the blood pressure so just tuck it a little bit higher for better stethoscope placement and they are just about under the cuff…you should not be not be touching that cuff at all…the stethoscope should not be touching the cuff

Question 10

Stethoscope is aligned with the _________ artery and so your stethoscope placement is fine at the inside of your elblow

Answer 10

brachial

Question 11

________ and ________ finger are used to take pulse

Answer 11

index and middle finger

Question 12

Your going to measure how much its pulsating in 60 seconds because heart rate is measured in beats per minute

Question 13

How many beats per minute which is 60 seconds

Question 14

If I get 20 pulsations in 15 seconds what are my beats per minute? 20x4

Question 15

Whether you choose to measure it for 15 seconds and multiply by 4 or measure it for 30 seconds and multiply by 2 that’s totally up to you

Question 16

(Don’t do air math and you can use a phone for a timer)

Question 17

In what instance do we have to measure a pulse for a full minute? An abnormal heart rate like in _________. Or atrial fibrillation

Answer 17

A Fib.

Question 18

For an abnormal rhythm you have to measure for the full minute because you can go seconds without a beat

Answer 18

full minute

Question 19

If patient has A fib you have to measure for the full minute because in immersive week professor might bring patient with A Fib… HAVE TO ASK IF PATIENT HAS A Fib in order for you to know it because they won’t just say it

Question 20

In Blood Pressure Video, did you drink caffeine,smoke, or take energy drinks or powders

Question 21

Sit with legs uncrossed for five minutes and then measure blood pressure

Question 22

Patient has to be sitting, back supported, feet flat on the floor, no ankles crossed or legs crossed and arm at heart level for accurate reading

Question 23

There is no talking and no conversation, they just need to sitting there resting comfortably for 5 minutes

Question 24

If you have a full bladder you blood pressure is going to be higher

Question 25

If there is stress that would raise blood pressure