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Blood pressure measurement
using automated devices
EHES Training Material
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Exclusion criteria
Blood pressure is not measured • If a participant has
• open wounds/sores on both arms• severe rash on both arms• both arms amputated• cast on both arms• malformation on both arms preventing to place
the cuff• lymph node malfunction in both arms
• If the participant refuses
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Instruction to the participants
Before blood pressure measurement ask • If the participant has abstained from recently
• eating • drinking (except water)• smoking• heavy exercise• alcohol use
• If the participant needs to empty bladder
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Equipment
Watch and thermometer
Measurement tape
Cuffs
Measurement device
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Setting up the measurement site
• The room should be• quiet• comfortable temperature• no disturbances
• Place the device so that• you see the screen of the
device clearly• the participant cannot see
the results
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Position of the subject
• Participant is sitting• back supported • feet resting firmly
on the floor• feet not crossed
• Check that the position of the participant does not change during the measurement
Feet resting on the floor, not crossed
Back supported
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Position of the arm• Take the measurement
from the right arm• Arm resting on the
desk / arm rest• antecubital fossa at
the level of the heart• if needed, adjust the
chair or use a pillow to elevate the arm
• Palm facing up
Right arm, resting Palm facing
up
In line with the heart
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ClothingRoll sleeves up, if not constrictive
Undress constrictive sleeves
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Measurement process• Ask the participant
• to sit still for 5 minutes • not to talk or move
during the measurements
• Explain, that you will tell the measurement results after all 3 measurements are taken
• Measure arm circumference and select cuff
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Selection of the cuff
• Measure the greatest circumference of the upper arm
• The bladder of the cuff should be• width: At least 40% of
the arm circumference• length: At least 80% of
the arm circumference
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Placement of the cuff
• Place the cuff on right arm about 2-3 cm above the antecubital fossa
• Check that the top edge of the cuff is not restricted by clothing
• Check that the cuff is not too tide• one finger fits between
the cuff and the arm
Cuff 2-3 cm above antecubital fossa
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Measurement of pulse rate
• Palpate the radial pulse and count the pulse rate for 60 seconds
• Record 60 sec pulse count and whether or not the pulse was regular
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Measurement of blood pressure
• Follow instructions of the automated device
• Measure blood pressure 3 times, one minute between measurements
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Recording the results• Record
• Room temperature• Time of the blood
pressure measurement• Pulse for 60 seconds• Results of the 3 blood
pressure measurements• All exceptions
• Record the results in the participant’s feedback form and explain the results to the participant
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Acknowledgements
• Slides • Hanna Tolonen, Päivikki Koponen
• Photographs• Hanna Tolonen
• Measurement demonstrations • Sanna Ahonen, Kari Kuulasmaa, Shadia Rask,
Ari Haukijärvi, Anne Söderqvist, Marja Lampola, Katri Kilpeläinen, Vesa Tanskanen, Marika Strang, Ulla Leskinen