2- Expose the thigh 3- palpate the pulse 4- wrap the BP cuff Common mistakes FALSE-LOW FALSE-HIGH Bladder of cuff too wide Bladder of cuff narrow Arm above heart level Arm below heart level Deflating cuff too slowly Inflating too slowly Smoking, caffeine and exercise for the last 30 minutes KOROTKOFF PHASES Phase 1 a sharp thump determines the systole –  Phase 2 a blowing or whooshing sound (increasing sound) – Phase 3 a crisp, intense tapping (loud tapping) – Phase 4 a softer blowing sound that fades (muffled sound) – Phase 5 Silence determines the diastole –  eg BP 104/100/90 (Phases I/ IV/ V) – TEMPERATURE ORAL accessible and convenient – S Smoking* – N Newborn – O Oral surgery – U Ulceration/injury to the mouth – T Tremors/convulsions – H Hot/cold foods & fluids just ingested wait for 15 to 30 minutes before taking temperature –  AXILLARY Safe and non-invasive – A Axillary injury – X eXercise/activity – I Inadequate circulation – L Laging basa (moist pits) – A bathing – RECTAL Reliable measurement (Inconvenient and more unpleasant) – R Rectal disease/diarrhea – I Immunosuppressed – C Clotting disorders – T Turning to the side is difficult – H Hemorrhoids – U Undergone rectal surgery – M Myocardial infarction – TYMPANIC Readily accessible, reflects the core temperature, very fast 9 Risk of injuring the membrane) – E Evident cerumen – A An ear infection is present – R Reading may vary between left and right measurement – the wave of blood created by the contraction of the left ventricle. – Wait for 10 to 15 minutes if he client has been physically active. Use 2 or 3 middle fingertips lightly over the site. Doppler ultrasound stethoscope (DUS): transducer probe (gel may be applied) and stethoscope headset; when using a DUS, hold the probe lightly over the pulse site. Apical pulse 7 old and above located at the 5th ICS LMCL – 7 years old located at the 4th ICS LMCL – PULSE SITES Infants, palpable: brachial and femoral Allens test: radial CPR, infants: brachial CPR, adults: carotid
2- Expose the thigh 3- palpate the pulse 4- wrap the BP cuff Common mistakes FALSE-LOW FALSE-HIGH Bladder of cuff too wide Bladder of cuff narrow Arm above heart level Arm below heart level Deflating cuff too slowly Inflating too slowly Smoking, caffeine and exercise for the last 30 minutes KOROTKOFF PHASES Phase 1 – a sharp thump  determines the systole Phase 2 – a blowing or whooshing sound (increasing sound) Phase 3 – a crisp, intense tapping (loud tapping) Phase 4 – a softer blowing sound that fades (muffled sound) Phase 5 – Silence  determines the diastole eg BP – 104/100/90 (Phases I/ IV/ V) TEMPERATURE ORAL – accessible and convenient S – Smoking* N – Newborn O – Oral surgery U – Ulceration/injury to the mouth T – Tremors/convulsions H – Hot/cold foods & fluids just ingested  wait for 15 to 30 minutes before taking temperature AXILLARY – Safe and non-invasive A – Axillary injury X – eXercise/activity I – Inadequate circulation L – Laging basa (moist pits) A – bathing RECTAL – Reliable measurement (Inconvenient and more unpleasant) R – Rectal disease/diarrhea I – Immunosuppressed C – Clotting disorders T – Turning to the side is difficult H – Hemorrhoids U – Undergone rectal surgery M – Myocardial infarction TYMPANIC – Readily accessible, reflects the core temperature, very fast 9 Risk of injuring the membrane) E – Evident cerumen A – An ear infection is present R – Reading may vary between left and right measurement – the wave of blood created by the contraction of the left ventricle. Wait for 10 to 15 minutes if he client has been physically active. Use 2 or 3 middle fingertips lightly over the site. Doppler ultrasound stethoscope (DUS): transducer probe (gel may be applied) and stethoscope headset; when using a DUS, hold the probe lightly over the pulse site. Apical pulse 7 old and above – located at the 5th ICS LMCL 7 years old – located at the 4th ICS LMCL PULSE SITES Infants, palpable: brachial and femoral Allens test: radial CPR, infants: brachial CPR, adults: carotid
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