Taking a Blood Pressure by Palpation
This is how you palpate a blood pressure. The reasons for palpating a blood pressure is primarily because you cannot hear or auscultate for a blood pressure. Sometimes in the back of a noisy ambulance this is impossible to do so this is one way we can at least get a portion of the blood pressure. The only thing this will represent though is the systolic. We will not get a diastolic during this procedure, first, locate the radial pulse. Making sure your patient is in a comfortable seated position. Expose the arm. Place this blood pressure cuff again over the brachial artery. Feel for a pulse again. A radial pulse. As I pump itup I will continue to feel it. And at the point where it goes away ill add about 20.
Or 30 millimeters of mercury and then slowly allow the air to release. At the time the pulse returns, there, is my systolic. And I am done. This is only going to give me the top number or the systolic. And the way you will represent this on your documentation is to put whatever number the systolic is, we will say 120 over a P (120P) to indicate that this is by palpation.
EMS Skills Blood Pressure Measurement
Taking a patient’s blood pressure is a necessary part of our patient care. The blood pressure provides us the ability to treat and trend our patients as long as it’s taken accurately. Auscultation and palpation are two of the most common methods used. However, there are a number of factors we should keep in mind.
So that our readings are accurate. The arm must be placed at heart level. Cuff size is based on a limb size, so measure the cuff appropriately. Place the cuff over the brachial artery, keeping the bottom of the cuff one to one half inches above the bend in the elbow.
Insert the stethoscope in your ears with ear pieces pointing slightly forward. Gently tap on the diaphragm to assure the stethoscope is positioned correctly. Palpate the brachial artery and place the bell of the stethoscope over the brachial artery. Palpate or auscultate the brachial artery while.
Inflating the cuff to 30 millimeters of mercury above the loss of the pulse. Deflate the cuff at a rate of two to three millimeters per mercury per second. Too fast or too slow of a deflation results in missing sounds and inaccurate readings. The systolic pressure is recorded when you hear at.
Least two consecutive sounds and the diastolic pressure is recorded when the sound becomes muffled. The arm must be placed at heart level. Cuff size is based on a limb size, so measure the cuff appropriately. Palpate the brachial artery and place the cuff over the.
Brachial artery, keeping the bottom of the cuff one to one and a half inches above the bend in the elbow. Palpate the brachial or radial artery while inflating the cuff to 30 millimeters of mercury above the loss of the pulse. Deflate the cuff at a rate of two to three millimeters of.
Mercury per second. Too fast or too slow of a deflation results in inaccurate readings. The systolic pressure is recorded when you feel the return of the pulse and it’s recorded as the number over P.