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Questions and Answers
What is a critical step to prepare for pulse and blood pressure measurement?
What is a critical step to prepare for pulse and blood pressure measurement?
Which technique is important for locating pulse points?
Which technique is important for locating pulse points?
What must be considered when selecting a cuff for blood pressure measurement?
What must be considered when selecting a cuff for blood pressure measurement?
What does determine the Maximum Inflation Level (MIL) involve?
What does determine the Maximum Inflation Level (MIL) involve?
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What enhances the brachial pulse sounds during measurement?
What enhances the brachial pulse sounds during measurement?
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What must be done before making any arrangements regarding a mercury spill?
What must be done before making any arrangements regarding a mercury spill?
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Which components make up the inflation system?
Which components make up the inflation system?
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What determines the cuff size used for blood pressure readings?
What determines the cuff size used for blood pressure readings?
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What happens if the cuff used is too narrow?
What happens if the cuff used is too narrow?
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How can the pressure control valve be closed to inflate the cuff?
How can the pressure control valve be closed to inflate the cuff?
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What type of connection do the cuffs have to the manometer?
What type of connection do the cuffs have to the manometer?
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What should be checked daily before using the cuffs, pressure bulb, and manometer?
What should be checked daily before using the cuffs, pressure bulb, and manometer?
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What is the function of the pressure bulb in the inflation system?
What is the function of the pressure bulb in the inflation system?
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What should be done if an air leak is found in the inflation system?
What should be done if an air leak is found in the inflation system?
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How long should you wait after inflating the pressure to check for leaks?
How long should you wait after inflating the pressure to check for leaks?
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What is the primary function of the stethoscope during blood pressure measurement?
What is the primary function of the stethoscope during blood pressure measurement?
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Where should the stethoscope diaphragm be placed when measuring blood pressure?
Where should the stethoscope diaphragm be placed when measuring blood pressure?
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What happens if heavy pressure is applied while using the stethoscope?
What happens if heavy pressure is applied while using the stethoscope?
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What should the mercury level be in the glass tube when checking equipment daily?
What should the mercury level be in the glass tube when checking equipment daily?
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Which of the following is NOT a check for the equipment care checklist?
Which of the following is NOT a check for the equipment care checklist?
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Which object should be used for adults when testing for air leaks?
Which object should be used for adults when testing for air leaks?
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What should be done if a pulse cannot be counted due to irregular beats?
What should be done if a pulse cannot be counted due to irregular beats?
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What is the first step in determining the Maximum Inflation Level (MIL)?
What is the first step in determining the Maximum Inflation Level (MIL)?
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What happens if the cuff is underinflated during measurement?
What happens if the cuff is underinflated during measurement?
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How much higher than the last radial pulse reading should the cuff be inflated during MIL determination?
How much higher than the last radial pulse reading should the cuff be inflated during MIL determination?
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What is the correct action after inflating the cuff to the point where the radial pulse disappears?
What is the correct action after inflating the cuff to the point where the radial pulse disappears?
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What should you do if the second attempt to measure MIL is unsatisfactory?
What should you do if the second attempt to measure MIL is unsatisfactory?
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What does the MIL help determine?
What does the MIL help determine?
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What is the purpose of deflating the cuff rapidly after measuring?
What is the purpose of deflating the cuff rapidly after measuring?
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What should be done if a blood pressure measurement is interrupted and more than 5 minutes has elapsed?
What should be done if a blood pressure measurement is interrupted and more than 5 minutes has elapsed?
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How many total inflations are allowed when taking blood pressure readings?
How many total inflations are allowed when taking blood pressure readings?
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What should be noted on the Blood Pressure Measurement form if the measurement is unsatisfactory?
What should be noted on the Blood Pressure Measurement form if the measurement is unsatisfactory?
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What action should be taken if blood pressure sounds are not heard during the first measurement?
What action should be taken if blood pressure sounds are not heard during the first measurement?
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How long must you wait between blood pressure measurements?
How long must you wait between blood pressure measurements?
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What should you do if the patient does not feel well during the blood pressure measurement?
What should you do if the patient does not feel well during the blood pressure measurement?
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What should be done if blood pressure sounds are still not heard after three attempts?
What should be done if blood pressure sounds are still not heard after three attempts?
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What is the recommended procedure when the brachial pulse cannot be palpated?
What is the recommended procedure when the brachial pulse cannot be palpated?
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Study Notes
Blood Pressure Measurement Equipment
- Inflation System: Consists of a compression cuff, inflatable bladder, pressure bulb, pressure control valve and rubber tubing.
- Compression Cuff: Made of an unyielding material to evenly press on the inflatable bladder; features Velcro fasteners for secure positioning.
- Cuff Sizes: Child, adult, large arm, and thigh, each has a complete inflation system.
- Cuff Size Selection: Determine correct size by placing the cuff on the arm, ensuring index line fits within the range lines inside the cuff.
- Pressure Bulb: Used to create pressure in the system and inflate the bladder; held in the right hand with the pressure control valve on the left side.
- Pressure Control Valve: Controls the rate of deflation; turn towards you to inflate (close valve), and away from you to deflate (open valve).
- Stethoscope: Used for listening to body sounds.
- Stethoscope Placement: Diaphragm headpiece is placed directly over the brachial pulse pressure point with light pressure.
- Equipment Care: Includes daily checks for mercury level, meniscus shape, mercury column function, cracks in the glass tube, cap security, and air leaks.
- Equipment Maintenance: Replace faulty equipment upon detection of air leaks, tears, cracks, punctures, or stuck valves.
Determining the Maximum Inflation Level (MIL)
- Purpose: Determine the highest level to which the cuff should be inflated to avoid falsely low or high readings.
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Procedure:
- Locate the radial pulse.
- Close the thumb valve.
- Inflate the cuff quickly to 80 mm Hg, then inflate in increments of 10 mm Hg until the radial pulse disappears, noting the mercury column reading.
- Continue inflating in 10 mm Hg increments, pausing to ensure the pulse remains absent, until 30 mm Hg higher than the point where it disappeared.
- Rapidly deflate the cuff and disconnect the tubing.
- The MIL is the mercury column reading at the point the pulse disappeared plus 30 mm Hg.
Blood Pressure Measurement Procedure
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If Measurement is Interrupted:
- Repeat the MIL only if the cuff was removed or more than 5 minutes elapsed since the previous MIL or blood pressure reading.
- Repeat the MIL if the systolic blood pressure reading is less than 10 mm Hg from the MIL.
- Unsatisfactory Measurements: Note the reason on the Blood Pressure Measurement form and limit the number of inflations to five per subject.
- Inaudible Blood Pressure Sounds: Review technique, check stethoscope for loose connections, ensure a quiet environment, relocate the brachial pulse, and apply the diaphragm headpiece directly over the pulse point.
- Continued Inaudible Sounds: Note it on the form; explain to the subject that blood pressure was not heard and refer them to a doctor or health facility.
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Description
Test your knowledge on the components and usage of blood pressure measurement equipment. This quiz covers inflation systems, compression cuffs, cuff sizes, and the proper use of a stethoscope. Perfect for students in health sciences or anyone interested in medical equipment.
