Abnormal measurement value
Cause / solution
The causes below are possible. Check the patient by palpation and then repeat measurement.
•Body movement (chills or other trembling)
•Arrhythmia.
•Noise in the cuff
-A nearby person touched the patient.
-Cardiac massage was being performed.
The measurement value is questionable
Cause |
| Solution |
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Deflates quickly |
| Check for a loose cuff connection. |
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Stethoscope | Simultaneously perform measurement with a stethoscope. | |
| Place the stethoscope and listen while viewing the pressure display of the | |
| manometer. | |
Blood pressure may vary widely due to physiological effects.
The causes below are possible.
•Emotional excitement or agitation
-Pain due to cuff wrapping
-White coat hypertension
•Cuff size or wrapping method not correct
•Cuff wrapping position on upper arm not at the same height as the heart
•Patient's blood pressure not stable due to pulsus alternans, respiratory changes, or other reason
Incorrect cuff size used. | Measure circumference or patient's arm and ensure | |
correct sized cuff is used. | ||
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Cuff wrapped over thick clothing. | Ensure cuff is applied to a bare arm, or very thin | |
clothing. | ||
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Patient not seated properly. | Ensure patient is seated, feet flat on the floor, cuff at | |
heart level. | ||
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| Ensure before measurement taken, patient has not | |
Patient ate, drank, or exerted themselves recently. | had food, caffeinated or alcohol beverages, or | |
| exerted/exercised in the last 30 minutes. |
Maintenance
27
