You are on page 1of 9

why is it necessary.   1. and how he/she can cooperate. Explain to the client what you are going to do. . 2. Observe appropriate infection control procedures. 3. Provide for client privacy. Discuss how the results will be used in the planning further care or treatments.

The adult client should be sitting unless otherwise specified. and lying positions. Both feet should be flat on the floor. standing. Readings in other position should be specified.   .  Expose the arm. Position the client appropriately.  The elbow should be slightly flexed with the palm of the hand facing up and the forearm supported at heart level.4. The blood pressure is normally similar in sitting.

 Palpate the brachial artery with the fingertips. Apply the center of the bladder directly over the artery. Wrap the deflated cuff evenly around the upper arm.  6.  . If this is the client's initial examination. locate the brachial artery. perform a preliminary termination of systolic pressure.5.  Close the valve on the pump by turning the knob clockwise.

Release the pressure completely in the cuff . Note the pressure on the sphygmomanometer at which pulse is no longer felt. and wait 1 to 2 minutes before making further measurements. .  Pump up the cuff until you no longer feel the brachial pulse. At that pressure the blood cannot flow through the artery.

 Insert the ear attachments of the stethoscope in your ears so that they tilt slightly forward.  Ensure that the stethoscope hangs freely from the ears to the diaphragm.  .  Place the bell side of the amplifier of the stethoscope over the brachial pulse.  Cleanse the earpieces with alcohol or recommended disinfectant. Position the stethoscope appropriately.7.

Auscultate the client's blood pressure. . Release the valve on the cuff carefully so that the pressure decreases at the rate of 2 to 3 mmHg per second. Pump up the cuff until the sphygmomanometer reads 30 mmHg above the point where the brachial pulse diasappeared.   8.

Repeat the above steps once or twice as necessary to confirm the accuracy of the reading. . identify the manometer reading at each of the five phases. Wait 1 to 2 minutes before making further determinations. if possible. Deflate the cuff rapidly and completely.    As the pressure falls.

repeat the procedure on the other arm. There should be a difference of no more than 10 mmHg between the arms. 9. If this is the client's initial examination. .