The ultimate step to step guide to check blood pressure.

Blood-pressure-monitoring

To check the blood pressure, here is the step to step guide respectively. Blood pressure is that when your heart beats and it pumps blood around your body to gives it the energy and oxygen that it needs. When the blood moves around the body it pushes against the sides of the blood vessels. The strength of pushing the blood inside the body is your blood pressure.

Mainly the blood pressure is measured using a blood pressure cuff. For better than buying a blood pressure machine, you may visit a doctor or pharmacy for testing.

What is blood pressure?

Blood pressure is the measurement of the amount of force on blood places in blood vessels inside the body. The blood pressure always includes the two values that indicate the pressure inside the arteries as the blood flows inside the body. The measurement of blood pressure readings is made up of two values when check is:

•        Systolic blood pressure is that when the heartbeats and the heart muscle is contracting (squeezing) and pumping oxygen-rich blood inside the blood vessels. The upper number is called the systolic pressure.

•        Diastolic blood pressure is the pressure on the blood vessels when the heart muscle relaxes. Always the diastolic pressure is lower than the systolic pressure. The lower number is called the diastolic pressure.

Chart-for-hypertension-range
Source-internet

-Chart for hypertension range-

Blood pressure is always measured in units of millimeters of the mercury (mmHg). The readings are always taken in pairs, with the upper is systolic value first, followed by the lower is diastolic value. If someone who has a reading, when a check is the blood pressure 120/80 mmHg (often spoken “120 over 80”), then-

        systolic blood pressure is 120 mmHg
•        diastolic blood pressure is 80 mmHg

Factor affecting blood pressure

According to the American Heart Association, the normal blood pressure for a normal person is anything 120/80 mm Hg. For an adult person, if these numbers go higher than 120/80 mmHg than it is often an indication that the heart is working too hard to pump blood through the arteries. High blood pressure can be caused by many several factors including:

•        High stress

•        fear

•        higher cholesterol

•        plaque buildup inside the arteries

Always the accurate blood pressure readings are important and the high blood pressure may not cause any symptoms until it is dangerously high.

How is the blood pressure measured?

It is important to measure blood pressure more than once because it keeps fluctuates daily. Blood pressure can also change with things like physical exercise, some stress, pain, or high heat or cold. But this kind of blood pressure is only temporary and it returns to normal soon. So, if blood pressure is measured just once in a day and found high then it doesn’t necessarily mean that it is always too high.

Measurement-of-blood-pressure
Source-internet

You can measure your own blood pressure by using a digital blood pressure monitor with automated readings. The instrument is called a sphygmomanometer for manual readings.

Objectives

• Position: in supine, seated or in standing.

• In the seated position, the arms of the person should be inclined.

• The flexed elbow of the person should be at the level of the heart.

• If the person is anxious, then wait for a few minutes before taking the pressure.

Sphygmomanometer –

A sphygmomanometer has consisted of three parts:

a cuff that comes with inflated with air,

a pressure meter (manometer) used for measuring the air pressure in the cuff,

Sphygmomanometer
Source-internet

a stethoscope for listening to the sound that blood makes when it flows through the brachial artery (the major artery found in your upper arm in the body).

The scale of the pressure ranges is from 0 to 300 mmHg in the manometer. The pressure meter has a rubber pump on it for puff off the cuff and a button for letting the air out.

Digital blood pressure monitor

For measuring the blood pressure, the cuff is placed around the bare and stretched out upper arm and then inflated until no blood can flow through the brachial artery.

Digital blood pressure monitors are frequently used on the wrist, but sometimes they can also be placed on the finger or upper arm and they are activated by simply pressing a button.

Digital-blood-pressure-monitor
Source-internet

They can read the blood pressure automatically based on the variations in the volume of blood in the arteries.

When taking blood pressure measurements on the wrist then it is important to keep the hand level with the heart. Otherwise, it may affect the readings of the blood pressure.

Digital meters may sometimes produce inaccurate and unreliable readings. Especially in those peoples that are certain with heart rhythm problems and arteries that have hardened due to arteriosclerosis.

Automated blood pressure machines

The simple and most accurate way to measure the blood pressure at home by purchase an automated blood pressure monitor with an upper arm cuff. The instructions for use may differ with each machine and should follow them carefully to ensure proper operation.

Automated-blood-pressure-machines
Source-internet

If you feel follow the instructions are difficult to understand then a local pharmacy or doctor’s office able to show how to operate the machine correctly.

Using the best quality machine is important because inaccurate readings cause unnecessary and harmful changes in medications or treatments.

Many different varieties of blood pressure monitors are available for purchase online and in most drug stores for use. A person may ask a doctor about which brand they recommend.

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How do I do check blood pressure-

Select the right equipment:

What you have need:

Best quality stethoscope

A properly sized blood pressure cuff

How-do-I-do-check-blood-pressure
Source-internet

A blood pressure measurement instrument such as

an aneroid

mercury column sphygmomanometer

an automated device with a manual inflate mode.

2. Prepare the patient for blood pressure:

Make sure that the patient relaxed until 5 minutes before the first reading. To get the most accurate reading the patient should sit upright with their upper arm positioned so it is level with their heart and feet flat on the floor. Remove extra cloths that might interfere with the BP cuff or constrict blood flow in the arm. Make sure the patient refrains from talking to anyone during the reading of blood pressure.

3. Choose the proper size of the blood pressure cuff:

Most of the measurement errors are occurred due to not taking the proper cuff size. Roll the cuff around the patient’s arm and use the index line to determine if the patient’s arm parameter falls within the range area. Otherwise, use the appropriate smaller or larger cuff.

 4. Place the Blood pressure cuff on the patient’s arm:

Palpate and locate the pulse by lightly pressing your index and middle fingers slightly to the inside center of the bend of the patient elbow (where the brachial artery is) and position the Blood pressure cuff, so that the artery marker points to the brachial artery. Wrap the BP cuff comfortably around the arm.

 5. Put the stethoscope in the position:

On the same arm where you placed the BP cuff, palpate the arm at the antecubital fossa (crease of the arm) to locate the strongest pulse sounds and place the bell of the stethoscope over the brachial artery at the location.In case, if you cannot locate a patient pulse, place the bell of the stethoscope (on a manual monitor) in the same area.

6. Inflate the Blood pressure cuff:

 Begin when the pumping the cuff bulb as you listen to the pulse sounds. When the Blood pressure cuff has inflated enough to stop blood flow you should not hear any sounds through the stethoscope. The gauge should be 30 to 40 mmHg above the person’s normal Blood pressure reading. If this value is unknown then you can inflate the cuff to 160 – 180 mmHg.

 (If pulse sounds are heard right away then inflate a higher pressure.).

7. Deflate the Blood pressure cuff:

When you are using a manual monitor then you will get the most accurate reading if your arm is held straight. If you release the pressure too quickly or you could not hear the patient’s pulse, do not inflate the cuff again right away. Wait for at least one minute before repeating the measurement. Begin slowly deflation the blood pressure cuff.

Note that the pressure should fall at 2 – 3 mmHg per second, faster may result in an inaccurate measurement.

8. Listen to the Systolic Reading of the blood pressure:

The first occurrence of rhythmic sounds heard as blood flow through the artery is the patient’s systolic pressure. It may resemble a tapping noise in the first.

9. Listen to the Diastolic Reading of the blood pressure:

Continue to listen to the blood pressure, then the cuff pressure drops down and the sounds become fade. Note down the gauge reading when the rhythmic sounds stop. This will be the diastolic reading of the blood pressure.

10. Double Check for Accuracy of the blood pressure:

Now taking the reading of both arms and averaging both readings. Check the blood pressure again for accuracy and wait about five minutes between readings. Usually, blood pressure is higher in the morning, and lower in the evening time.

Drugs that are used to treat blood pressure

Angiotensin-converting enzyme (ACE) inhibitor

Angiotensin ǁ receptor blocker (ARBs)

Diuretics

Beta-blocker

Calcium channel blocker

Alpha-blocker

Alpha-agonists

Renin inhibitor  

Result

In general, the normal blood pressure is considered anything below 120/80 mm Hg. However, a healthy number may differ from person to person. The numbers of reading may change based on factors such are as below:

age

weight

sex

physical activity

underlying medical conditions

Any person who uncertain about their target blood pressure should visit a doctor for further guidance. If an at-home reading is higher than usual then it is important to do another reading after five minutes to ensure it is accurate. Any person who has the reading of systolic pressure over 180 mm Hg or a diastolic pressure over 120 mm Hg that should seek emergency medical care because that is a sign of a hypertensive crisis.

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Blood pressure reading with their categories-

Blood pressure with statusSystolic reading (mmHg)Diastolic reading (mmHg)
In normal12080
In elevated120-129Less then 80
High blood pressure stage 1(Hypertension)130-13980-89
High blood pressure stage 2140 or higher90 or higher
The stage of hypertensive crisis (immediate medical attention)180 or higher120 or higher

Precaution

Lose extra weight.

Exercise regularly.

Eat a healthy diet and consider boosting potassium.

Reduce sodium in your diet.

Don’t add extra salt to your diet.

Reduce the amount of caffeine.

Be a smart buyer and read food labels.

Quit alcohol.

Quit smoking.

Reduce your stress level.

Get support and connect with family.

Follow a healthy lifestyle.

Monitor your blood pressure at home and consult with your doctor regularly.


This Post Has 6 Comments

  1. chanchalsharma

    your post is really informative …it is very useful …

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