Blood pressure is an important
metric to evaluate the cardiac and circulatory functions. It changes from a
variety of disorders. These include cardiac, renal and endocrine disorders. And
acute conditions such as infections may be accompanied by a temporary change in
blood pressure. There are conventional, traditional blood pressure gauges with
an inflatable cuff, which is applied on the upper arm, as well as electronic
devices that measure blood pressure at the wrist. Regular, usually made in
one-to two-year intervals, verification of the accuracy (calibration) is
recommended for all types of devices. We can measure the blood pressure by the
using of following methods:-
With a cuff sphygmomanometer
The size of the cuff is
determined by the circumference of the arm. Cuffs that are too broad or too
narrow can lead to incorrect results. An average cuff arm of an overweight
patient can lead to incorrectly diagnose hypertension. In this case would have
to be greater the cuff.
The patient should be
seated comfortably and relaxed as possible. The arm is stripped and slightly
bent. The lower edge of the cuff is about 2.5 cm above the elbow furrow,
approximately at heart level. If the cuff is too far below heart level, the measured
blood pressure is too high. If the cuff on the other hand clearly above heart
level, blood pressure appears incorrectly low.
The evacuated cuff is
tightly wrapped around the upper arm without pinch off the arm, and using the
Aufblasballons quickly filled up with air until no more blood flows. Now you
can slowly air and hears from the artery in the elbow with a stethoscope. On
perceiving the first audible knocking the systolic blood pressure is read. The
value at which the beating of closing corresponds to the diastolic blood
pressure.
Too rapid deflation of the
cuff means that the systolic blood pressure and diastolic too low too high
appear. Too slowly or repeatedly inflating the cuff caused a congestion of
blood in the veins. This also leads to incorrect results. A break of one to two
minutes between measurements to prevent this congestion. The pulsating
noise due to the narrowing of the artery or by the sudden inflow of blood.
Measure blood pressure using this method in itself is, for technical reasons
(cuff-creation and so on) are very difficult.
With an electronic
sphygmomanometer
With newer electronic devices,
the correct position of the device is important. These meters are applied to
the inside of the wrist, where the pulse is felt. Here, too, the patient should
keep the arm so that the meter is approximately at heart level.
The inflation and deflation
of the cuff as well as the measurement of blood pressure and most of the pulse
automatically. This measurement method can be simply and easily without help
carry within them. Measurement inaccuracies can occur in the electronic
measurement, for example if the wrist of the person is very thick.
Blood pressure at the doctor’s
chamber
In the doctor's office, the
investigation takes a few minutes. For the avoidance of vascular disease, the
initial measurement performed on both arms. In addition, the doctor measures
your blood pressure and on the legs. Since blood pressure fluctuates
throughout the day and is influenced by time of day, physical exercise, stress
and anxiety, individual measurements are often only snapshots. Therefore, the
physician measures the blood pressure several times on different days and at
different times.
Before the measurements,
the patient should observe a rest period of at least five minutes as
nervousness, stress or excitement can raise blood pressure. The same goes for
smoking prior to measurement. After a few minutes, the doctor should perform a
second blood pressure measurement. If the results of the first and the second
measurement differ by ten mmHg or more, a third measurement is required. The
lowest of the three measured values, the doctor wears a usually in the
patient's chart.
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