Blood pressure is measured by an instrument
called a sphygmomanometer. Several types of sphygmomanometers exist,
so you should follow your instructor's directions for the specifics on
how to operate yours. Some models come with a "built-in stethoscope"
and some do not.
Regardless of which type of sphygmomanometer
is used, the principle behind taking the blood pressure is constant.
The cuff is inflated beyond the point that cuts off circulation in a given
artery. The cuff pressure is then measured on a gauge or a digital
terminal.
A. Blood Pressure
1. Obtain a sphygmomanometer and
a stethoscope (if not a "built-in" type). Examine the instruments
carefully.
2. Have your partner to sit quietly.
3. Position the sphygmomanometer
cuff on your partner's arm just above the elbow. Be sure the stethoscope
is positioned over the brachial artery located in the bend of the arm.
4. Inflate the cuff to a reading
of about 160. If your partner has a history of hypertension, you
may have to inflate the cuff higher than 160.
5. While gradually deflating the
cuff (at the rate of about 2 mm Hg per second), carefully listen to the
artery through the stethoscope. Listen for the first 2 audible tapping
sounds. This distinct thumping sound is known as Korotkoff's sound.
If you do not have a digital display with your instrument, make a mental
note of the pressure valve as soon as you hear it. This is the systolic
pressure. This highest, or peak, blood pressure occurs as the blood
is ejected into the arteries.
6. Continue to deflate the cuff slowly.
The point where this thumping sound stops is the diastolic pressure, which
is the amount of "non-push" pressure that is always present in a vessel.
The standard average blood pressure is 120/80 mm Hg. Hypertension
is usually considered, if the systolic pressure is above 140 and the diastolic
pressure is above 90.
7. Practice taking your partner's
blood pressure. Record your partner's blood pressure.
B. Pulse Pressure
Pulse pressure is the mathematical difference
between the systolic and diastolic readings. If your blood pressure
is 130/90, your pulse pressure is 40. Record your partner's pulse
pressure.
C. Exercise and Blood Pressure
1. Examine the effects of exercise
on blood pressure. Correctly wrap the blood pressure cuff around
your partner's arm, so that it is snugly in place.
2. Measure and record your partner's
resting blood pressure.
3. Now instruct your partner to do
the following exercises: Check the blood pressure (a) before the
exercise, (b) immediately after the exercise, and (c) after a 3 minute
rest.
Exercises include running in place for
2 minutes, performing8 to 10 jumping
jacks, and doing8 to 10 toe touches.
NOTE: Modifications may be needed
for students with certain health problems.
Using Microsoft Word, answer the following questions:
1.What
was your partner’s blood pressure before exercising?
2.What
was your blood pressure before exercising?
3.What
factors might influence blood pressure readings?
4.What
was your partner’s pulse pressure?
5.What
was your pulse pressure?
6.What
value might there be in knowing one’s pulse pressure?
7.After
completing each exercise, was your partner’s blood pressure back to normal
after three minutes?
8.If
it was not normal, what factors do you think could account for the difference?