1. Ryan Dunphy Fall 2008 dunphy91@students.rowan.edu 908.268.9514 Saturday October 25 Saturday November 1

3.  Cardiovascular disease (CVD), principally heart disease and stroke, is the nation's leading killer for both men and women among all racial and ethnic groups

4.  Force of blood on arterial walls  Increases with age, stress, fitness level, etc

5. *********************SystolicDiastolic/ NormalLess than 120Less than 80120/80 Prehypertension120-13980-89120/80  139/89 Hypertension (Stage 1) 140-15990-99140/90  159/99 Hypertension (stage 2) Higher than 160Higher than 100160/100 Would be nice to be 110/70 (newer suggestion) OVER 50YRS: NORMAL = Less than 160/90

6. Laminar TurbulentNo Flow THESE TYPES OF BLOOD FLOW IS WHAT YOU HEAR, (AND DON’T HEAR) WHEN TAKING A BLOOD PRESSURE READING. Turbulent

7. QUESTIONS?

9. Electronic

10.  Welcome client, introduce yourself  Be sure client feels comfortable and safe -remember health behavior! 3 Forms -Waiver -Questionnaire -Client Handout

11.  Intro  Forms  Cuff Selection  Prep  Radial Pulse  Brachial Pulse  30+  Deflation Listening  Sys / Dia  Keep: Q & W – Give:Res  EXPLANATION!!  Most clients have no idea what a bunch of numbers mean, so you do! Give suggestions for lowering or refer to doctor, YOU CANNOT TELL SOMEONE THEY ARE HYPERTENSIVE!

12.  EXPLANATION!  Most clients have no idea what a bunch of numbers mean, so you do! Give suggestions for lowering or refer to doctor  You are not diagnosing a disease; you are simply providing a reading for that day

13. *********************SystolicDiastolic/ NormalLess than 120Less than 80120/80 Prehypertension120-13980-89120/80  139/89 Hypertension (Stage 1) 140-15990-99140/90  159/99 Hypertension (stage 2) Higher than 160Higher than 100160/100 Would be nice to be 110/70 (newer suggestion) OVER 50YRS: NORMAL = Less than 160/90 199

14.  heart  large arteries  (taper down to)   smaller arteries ( arterioles)   ( taper down)   smaller vessels ( capillaries)  02 & nutrients  organs of your body  returns to your heart through veins. SO…

15.  dilate (become larger) =easy flow  contract (become smaller)=hard to flow  Hard to flow = increased pressure  When this happens, your heart becomes strained and blood vessels may become damaged.  “Silent Killer” that’s why we monitor it!

16.  Obesity  Eating too much salt  Alcohol  Lack of exercise  Stress

17.  Race  Heredity  Age

18.  Heart works harder  Increased pressure  Over time, limited performance  Increased risk for many problems Automotive Example

19.  YES  Lightheadedness  Fainting  (graphic)

20.  High blood pressure is a lifelong disease.  It can be controlled but not cured.  The first thing you can do is to have your blood pressure checked. DOCTOR!  Low-fat diet  Low-salt diet – too much already!  Quitting smoking  Losing weight  More exercise  Reducing alcohol

21.  Radial Pulse  Inflate to no feeling  Deflate  Earpieces in, reader set  Inflate to 30 above  Deflate SLOWLY  First lubb is sys, dia is last lubb

22.  TIMES AVAILABLE: Monday, October 27 th 5 People for 11-12:5 People for 4:30-5:30 1)_________________1)_____________________ 2)_________________2)_____________________ 3)_________________3)_____________________ 4)_________________4)_____________________ 5)_________________5)_____________________

23.  Next Week, Same Time, Same Place  Bring #2 pencil for Scantron