Blood pressure measurement using automated devices EHES Training Material

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

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

Equipment Watch and thermometer Measurement tape Cuffs Measurement device

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

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

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

Clothing Roll sleeves up, if not constrictive Undress constrictive sleeves

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

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

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

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

Measurement of blood pressure Follow instructions of the automated device Measure blood pressure 3 times, one minute between measurements

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 participants feedback form and explain the results to the participant

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