Smoothy Slim
Smoothy Slim
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Perhaps the most common mistake in blood pressure measurement is allowing patients to sit or lie with their arms hanging by their side, since when the upper arm is below the level of the right atrium, the readings will be too high. If the arm is unsupported and held up by the patient, pressure will be even higher2.
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Learn More »Blood pressure measurement is one of the most common medical tests performed across both physician’s offices and hospitals worldwide. Ensuring the accuracy and reliability of this measurement is critical for the proper diagnosis and treatment of millions of patients. Yet, measuring blood pressure is a procedure that is also highly prone to error. In this article, we’ll discuss why we so often get blood pressure readings wrong and the most common mistakes that cause false highs and lows. We’ll also lay out simple tips you can use to avoid these mistakes, master this fundamental skill in patient care. Lack of ongoing training Inaccuracy in blood pressure measurement has persisted across the healthcare spectrum, despite extensive education and efforts to raise awareness of the negative consequences these faulting readings can bring. One issue experts believe may be at the center of this issue is a lack of ongoing training in proper blood pressure measurement techniques. In fact, according to a joint survey of over 2,000 healthcare professionals by the American Medical Association and American Hospital Association (AMA-AHA), retraining in how to succeed in accurate blood pressure measurement is not nearly as common as it should be. Specifically, the survey found that1: Approximately 50% of physicians and physician assistant report receiving no additional blood pressure retraining after graduation. A full one-third of nurses in addition to approximately a quarter of medical assistants received no retraining. Clearly, despite the importance of accuracy in blood pressure measurement, we still have far to go in supporting healthcare professionals in the development of this skill. Common blood pressure mistakes Regardless of your position, whether you are a physician, nurse or other healthcare provider, there are five common mistakes that can lead to blood pressure inaccuracies2,3. These are: Wrong cuff size Cuff positioning Patient preparation Incorrect patient positioning Talking Accuracy of cuff size Choosing the wrong-size blood pressure cuff can affect accuracy by up to 30 mmHg4. The American Heart Association recommends a cuff bladder width of 40% of the arm circumference and a cuff bladder length of 80% of the arm circumference5. To ensure accuracy of sizing, begin by measuring the patient’s mid upper arm circumference in centimeters. Next, use the sizing chart below to determine which cuff size should be used based on that measurement. (If the patient’s cm measurement is between sizes, choose the larger cuff if width is appropriate.
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Learn More »The top fruits for lowering blood pressure include bananas, apples, pears, apricots, grapes, raisins, kiwis, mangoes, watermelon, pomegranate, plums, prunes, avocado, cantaloupe, honeydew melon, tomatoes, citrus fruit, berries, and more.
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