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Blood pressure measurement
Published in Ian Mann, Alastair Noyce, The Finalist’s Guide to Passing the OSCE, 2021
Select the appropriate blood pressure cuff for the patient’s arm size. Incorrect sizing of the cuff can result in inaccurate blood pressure measurement. The cuff width should be at least 40% of the patient’s arm circumference.
Nursing care of the cardiac catheterisation patient
Published in John Edward Boland, David W. M. Muller, Interventional Cardiology and Cardiac Catheterisation, 2019
Julie Parkinson, Jo-Anne M. Vidal, Eva Kline-Rogers
Compartment syndrome is a rare (<0.01%)86 but serious extension of an uncontrolled haematoma and is a medical emergency. Open fasciotomy can be usually avoided if preventative measures are employed, such as: (1) stopping IV anticoagulation, (2) controlling pain and blood pressure, and (3) using transient external compression with a blood pressure cuff.48 Any suspected expanding haematoma should be closely monitored using frequent arm circumference measurements, and if uncontrolled, urgent medical review is indicated. Tizón-Marcos & Barbeau86 recommend the immediate application of a blood pressure cuff at 10-15 mmHg less than systolic blood pressure to allow distal pulsatile flow to the hand (monitored with oximetry/plethysmography) so bleeding stops and diffuses into the arm. Usually 2 periods of 15 minutes are required to control bleeding.86
On the Importance of Monitoring Blood Sugar and Other “Vital Signs”
Published in Robert Fried, Richard M. Carlton, Type 2 Diabetes, 2018
Robert Fried, Richard M. Carlton
The website Diabetes Self-Management makes the following recommendations: The ABI test takes about 20 to 30 min. First, the person lies down for about 10 min to equalize the effect of gravity on blood pressure in the arms and legs. Then, a blood pressure cuff is used to measure blood pressure in the arms and at the ankles. Systolic blood pressure at the ankles, lower than that in the arms, may be taken as evidence of possible peripheral vascular disease (https://www.diabetesselfmanagement.com/diabetes-resources/definitions/ankle-brachial-index/; accessed 6.4.17).
Examination stress in academic students: a multimodal, real-time, real-life investigation of reported stress, social contact, blood pressure, and cortisol
Published in Journal of American College Health, 2022
Susanne Koudela-Hamila, Joshua Smyth, Philip Santangelo, Ulrich Ebner-Priemer
For blood pressure measurements, we used a 24-hour computer-controlled blood pressure recorder (boso, TM-2430). The blood pressure cuff was fitted on the nondominant arm of the students. Systolic and diastolic blood pressure readings were taken every 15 minutes during the waking time, and every 30 minutes during the night over 24 hours. Seventy-seven students participated in the blood pressure assessment at the beginning of the semester. Three students in the blood pressure group dropped out at the second assessment. Additionally, blood pressure data were missing in four cases due to technical problems, resulting in 70 blood pressure recordings during the examination period. Nighttime data recordings did not work for two students at the beginning of the semester and one student during the examination period, resulting in nighttime blood pressure data for 75 students at the start of the semester and 69 students during the examination period. The mean number of day- and nighttime blood pressure recordings were equal across the two assessment weeks (Mday = 57, SDday = 6, Mnight = 14, SDnight = 3).
Subclinical atherosclerosis in the carotid artery: can the ankle-brachial index predict it in type 2 diabetes patients?
Published in Scandinavian Journal of Clinical and Laboratory Investigation, 2021
The technique laid out in a scientific statement from the American Heart Association was used to measure ABI [29]. The index was measured using an Atys Microflow S 8 MHz doppler device (Atys Medical 17, Parc d’Arbora, 69510 Soucieuc en Jarrest, France) after the patient had rested in the supine position for at least 10 min. Doppler ultrasound was used to locating the arterial pulse. A blood pressure cuff was inflated proximal to the artery under investigation. Two measurements of systolic pressures were obtained in each arm and ankle, the average was recorded for both side. The straight wrapping method was used for placing the cuff around the ankle. The lower edge of the cuff was placed 2 cm above the superior aspect of the medial malleolus. The highest ankle blood pressure (dorsalis pedis or posterior tibial artery) was divided by the highest blood pressure in the arms (right or left) to calculate ABI. For statistical analysis, we used the highest ABI of each side.
Autonomic activity and its relationship with the endogenous cardiotonic steroid marinobufagenin: the African-PREDICT study
Published in Nutritional Neuroscience, 2020
Michél Strauss, Wayne Smith, Wen Wei, Olga V. Fedorova, Aletta E. Schutte
Participants were fitted with a 24 hr ambulatory blood pressure (ABPM) and electrocardiogram (ECG) apparatus (Card(X)plore, Meditech, Budapest, Hungary). An appropriately size brachial blood pressure cuff was attached to the non-dominant arm of participants with the apparatus attached to their waist. Daytime blood pressure recordings were taken in 30 min intervals (6 AM – 10 PM) and nighttime blood pressure every hour (10 PM – 6 AM). Continuous 24 hr ECG recordings were analyzed using Cardio Visions 1.15.2 Personal Edition software (Meditech, Budapest, Hungary) to obtain HRV data and provide information on the time- and frequency domains. Although the time domain (including the standard deviation of normal to normal interval (SDNN)) provides information on changes in total HRV, this technique is limited in providing information on specific components contributing to the variance [11,13,14]. The frequency domain, however, reflects different components of the autonomic nervous system with the low frequency (LF) HRV band being an index of sympathetic tone, with a parasympathetic component, and the high frequency (HF) HRV band a reflector of parasympathetic tone, with a sympathetic component [13]. Power spectral density analyses were used to calculate the LF HRV (0.04–0.15 Hz) and HF HRV (0.15–0.40 Hz), expressed in normalized units [14], as well as the LF/HF ratio.