http://www.resus.org.au/arc_guideline_changes.pdf
DR ABC
Danger
Response
Airway
Breathing
Circulation
Vital Signs and Blood Pressure
Carotid
Brachial
Radial
Femoral
Popliteal
Dorsalis pedis
Posterior tibial
Blood pressure - important points!!
- Exercise, coffee?? if yes, wait 5 mins
- cross leg? UNCROSS LEG!!
1. Introduction & ASK PATIENT'S NAME
Hello, my name is Tom Cruise, and I am a first year medical student.
2.Purpose
I'm here as instructed by my doctor to take your blood pressure.
3. Explaination & Consent
This procedure will require me to put this band/cuff around your arm and I will inflate the cuff/band. This may be a bit uncomfortable but I can stop if it's too uncomfortable. Is that okay with you?
4. ASK FOR P&C and not Phey Chien-
Tell patient that the BP reading will be passed on to the doctor. Ok with you?
WASH HANDS!!
ASK PATIENT IF HE/SHE HAS TAKEN COFFEE/ HAD SMOKE/ EXERCISE before coming - WAIT FOR 5 MINUTES
ASK PATIENT NOT TO CROSS LEGS
5. Remove air from cuff.
6. Palpate for patient's brachial artery and put cuff around patient's arm.
7. Palpate for radial pulse and inflate arm cuff.
8. Feel radial pulse until it disappears. This is the estimated systolic pressure.
9. Deflate arm cuff.
10. Tap on diaphragm to check stethoscope and then place stethoscope on brachial artery.
11. Inflate cuff higher by 20mmHg than the estimated systolic pressure. There should be no sound.
12. Deflate 2 to 3 mmHg/sec until you hear the first KAKAKA RA KOFF sound. This is the SYSTOLIC PRESSURE. REMEMBER THE PRESSURE
13. Continue to deflate until sound disappears. This is the DYSTOLIC PRESSURE. REMEMBER THE PRESSURE.
14. Deflate completely and remove cuff.
15. Ask patient if he/she has any questions.
16. THANK PATIENT........ and get your butt out of the LS and to the next LS! or if it's your last station, go celebrate!
WASH HANDS!!
ASK PATIENT IF HE/SHE HAS TAKEN COFFEE/ HAD SMOKE/ EXERCISE before coming - WAIT FOR 5 MINUTES
ASK PATIENT NOT TO CROSS LEGS
5. Remove air from cuff.
6. Palpate for patient's brachial artery and put cuff around patient's arm.
7. Palpate for radial pulse and inflate arm cuff.
8. Feel radial pulse until it disappears. This is the estimated systolic pressure.
9. Deflate arm cuff.
10. Tap on diaphragm to check stethoscope and then place stethoscope on brachial artery.
11. Inflate cuff higher by 20mmHg than the estimated systolic pressure. There should be no sound.
12. Deflate 2 to 3 mmHg/sec until you hear the first KAKAKA RA KOFF sound. This is the SYSTOLIC PRESSURE. REMEMBER THE PRESSURE
13. Continue to deflate until sound disappears. This is the DYSTOLIC PRESSURE. REMEMBER THE PRESSURE.
14. Deflate completely and remove cuff.
15. Ask patient if he/she has any questions.
16. THANK PATIENT........ and get your butt out of the LS and to the next LS! or if it's your last station, go celebrate!
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