HOW TO MEASURE THE BLOOD PRESSURE ACCURATELY
The accurate
measurement of blood pressure is very important in diagnosing and deciding the
exact treatment. Some people having white coat syndrome which leads to false
diagnosis of hypertension in the hospital situations , in those cases the home BP
measurement will be more helpful in identifying your average BP in normal
condition.
By following simple steps you can measure your blood
pressure in your home settings.
Select a calm environment for measuring your blood pressure.
Empty the bladder before the procedure.
Sit down at a table
or desk where you can easily rest your arm so that when you bend your elbow,
your elbow is parallel to your heart.
Wrap the cuff around your upper middle arm. The cuff shouldn't
be too tight that it will cut off the circulation and give you a false reading.
The cuff must be loose enough to enter your two fingers between the cuff and
the skin.
Gently put the earpieces of the stethoscope in your ears.
Place the wide head of the stethoscope (the diaphragm) entirely
on your skin just above the elbow, on the inside of your now straightened arm;
the brachial artery.
Take the rubber bulb and tighten the valve at the base. Be
sure to turn the valve all the way clockwise to shut it off so that air doesn't
escape when you pump. DO NOT OVER-TIGHTEN THE VALVE.
Pump the bulb using slow but very steady pressure until the
needle on the gauge is at about 20-30 points above your usual systolic (top)
number. Now, gently turn the bulb's valve counter-clockwise slightly so that
air is released slowly and steadily. Doing this yourself as you listen is a
little tricky, you should release the valve with the hand on your cuff arm and
hold the stethoscope with your free arm. The needle should ideally be moving
down at a rate of two marks per second for accuracy.
As you watch the needle fall back down the gauge, listen for
a thumping sound (The clinical name for this is "Korotkoff sounds").
Keep your eyes on the gauge -- when you first hear thumping, you have your
systolic number, which represents the greatest amount of pressure exerted on
the artery walls as your heart pumps blood.
Keep watching the gauge and listening to the beats.
Eventually the hard thumping sound will turn into a "whooshing" sound
(these are called the 4th Korotkoff sounds). These sounds are helpful to listen
to because they tell you that you are close to your diastolic blood pressure.
When the thumping fades to silence, you have your diastolic (bottom) number,
the lowest amount of pressure.
The normal range of blood pressure is 100-140 systolic and
60-90 diastolic. Blood pressure is fluctuating time to time, it can be affected
by serious health problem and a simple emotional stress like anxiety. So don't be
panic if you are getting a high blood pressure ones. If your blood pressure is
consistently elevated its time to see your physician.
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