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ERP Week 1
Vital Signs and Measurements Chpt 37 - Blood Pressure
| Question | Answer |
|---|---|
| Blood pressure is? | The pressure exerted on the walls of arteries |
| Hypertension means? | High blood pressure |
| Hypotension means? | Low blood pressure |
| Pressure exerted on the arterial walls during cardiac contraction is called? | Systole / Systolic |
| Systolic pressure is expressed in a reading as? | The top number of a blood pressure (BP) |
| Pressure exerted on the arterial walls during cardiac 'relaxation' is called? | Diastole / Diastolic |
| Diastolic pressure is expressed in a reading as? | The bottom number of a blood pressure (BP) |
| Blood pressures are written as? | A fraction 120/80 |
| Blood pressure is measured in? | mmHg millimeters of mercury |
| Blood pressure are measured on an instrument called? | sphygmomanometer |
| Types of sphygmomanometers include: | Mercurial and aneroid |
| Each line on a sphygmomanometer gauge represents? | 2 mmHg |
| Normal systolic range for an adult | <120 mmHg |
| Systolic pressure between 120 - 130 mmHg is? | Prehypertnesion |
| Systolic pressure between 140 - 159 mmHg is? | Hypertension stage 1 (HTN) |
| Systolic pressure > 160 mmHg is | Hypertension stage 2 (HTN) |
| Normal diastolic range for an adult | <80 mmHg |
| Diastolic pressure between 80 - 89 mmHg is? | Prehypertension |
| Diastolic pressure between 90 - 99 mmHg is? | Hypertension stage 1 (HTN) |
| Diastolic pressure >100 mmHg is? | Hypertension stage 2 (HTN) |
| A sudden drop in blood pressure when an individual sits or stands up is called? | Orthostatic hypotension or postural hypotension |
| Orthostatic vital signs refer to: | Obtaining a pulse(P) and blood pressure(BP) with the patient lying down, sitting, or standing |
| Blood pressure results are documented with an arrow side ways if the patient is? | Lying down |
| Blood pressure results are documented with an arrow up if the patient is? | Standing |
| No sign on a BP recording means? | The BP was taken while the patient was sitting |
| Before obtaining a BP, have the patient rest for? | 15 minutes |
| The chosen arm should be? | Free of constrictve clothing |
| The blood pressure cuff should cover? | 3/4 of the superior arm |
| The blood pressure cuff should be placed? | One inch (2.54cm) above the anticubital space |
| An anticubital space is located? | At the crease of the elbow |
| The arrow on the BP cuff should be placed? | Over the bracial artery |
| The BP cuff should be positioned at? | Heart level |
| After placing the BP cuff on the superior arm you should? | Palpate the radial artery |
| While palpating the radial artery you should? | Close the valve on the bulb and inflate the BP cuff UNTIL the radial pulse DISAPPEARS |
| The point where the radial pulse disappears is called the? | Palpatory systolic pressure |
| After obtaining the Palpatory systolic pressure you should? | Deflate the BP cuff and ask the patient to raise arm and flex fingers for 30-60 sec (to promote blood flow) |
| After palpating the brachial artery, place the stethoscope diaphragm and | hold securely with light pressure |
| After placing the stethoscope over the brachial, pump up the BP cuff to | 30 mmHg ABOVE the Palpatory systolic pressure and slowly release the pressure from the bulb at 2-3 mmHg per second |
| The first BP sound should be heard near the? | Palpatory systolic reading (representing systolic pressure |
| The sound made by the systolic pressure sounds like | tapping |
| Where the tapping (systolic sound) stops, represents? | The diastolic pressure |
| If you should hear the systolic tapping all the way to zero, it should be recorded as? | 120/80/0 |
| The AMA suggests acquiring a BP from? | Both arms |
| a blood pressure reading is slightly more accurate in which arm? | The left |
| Performing a BP is contraindicated when? | 1.An IV is present 2.With an arm injury 3.On the same side as a mastectomy |
| AED stands for | Automated External Defibrillator |