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BLOOD PRESSURE
MONITORING
BY:- DR. SOUBHAGYA RANJAN DAS
JR-2 MEDICINE
INTRODUCTION
• Blood pressure(BP) is a measure of the force that the circulating blood exerts against the
arterial wall.
A. SYSTOLIC PRESSURE:- It is the maximum pressure exerted by the blood against the arterial
walls.
• It results when the ventricles contract(systole).
B. DIASTOLIC PRESSURE:- It is the lowest pressure exerted by the blood against the arterial
walls.
It results when the ventricles are relaxed(diastolic)
SIGNIFICANCE
• To ensure the blood flow to various organs
• Plays an important role in exchange of nutrients and gases across the
capillaries.
• Required to form urine
• Required for the formation of lymph
STAGES OF BP
PHYSIOLOGICAL VARIATION IN BP
AGE SLEEP
BUILD GESTATION
CLIMATE INTAKE
DIURNAL VARIATION PAIN
EXERCISE POSTURE
FEVER SEX
RECORDING OF BP
• METHODS:-
• 1.Palpatory method
• 2. Auscultatory method
SPHYGMOMANOMETER
TECHNIQUE
• Patient seated and relaxed,not talking,legs uncrossed.
• Tight arm clothing removed.
• Correct cuff size.
• Arm supported with cuff horizontal wit heart.
• Inform patient of discomfort and that several measurements will be taken.
• Sphygmomanometer on firm and level surface at eye level.
• Locate brachial or radial pulse
• Place stethoscope gently over brachial artery.
• Inflate mercury rapidly, 30mm above occlusion of pulse.
• Deflate slowly ,2mm per second.
• Record first of regular sound(systolic BP).
• Record diastolic as disappearance of sound.
• Record measurement to the nearest 2mm of Hg
• Repeat twice more and average of last two.
HYPERTENSION
• Defines as an elevation of systolic blood pressure.
• 30% of people over 50 are hypertensive.
• Never diagnosed on one reading.
• Indication of cardiovascular disease.
• Trauma
• Side effects of medications
• 90% are Primary(Essential) & 10% are Secondary.
PREDISPOSING FACTORS
• Obesity
• Herediatry
• Alcoholism
• Stress
• Smoking
• Sedentary life
SECONDARY HYPERTENSION
CAUSES:-
1. RENAL- Acute & Chronic Glomerulonephritis, Nephrotic
syndrome
2. Endocrine- Cushing’s , Conn’s, Thyrotoxicosis,
Pheochromocytoma
3. Vascular- Atherosclerosis, Arteriosclerosis
TREATMENT OF HYPERTENSION
• Modification of Lifestyle:
Cessation of smoking.
Moderation in alcohol intake.
Weight reduction.
Programmed exercise.
Reduction in Na intake.
Diet high in K.
Relaxation technique- Yoga
MEDICATIONS
HYPOTENSION
• Defined in adults as blood pressure below 90/60 mmHg.
• Causes:-
1. Hemorrhage
2. Dehydration
3. Sepsis
4. Vomiting
5. Diarrhea
6. Excessive sweating
7. Adission’s disease
8. Hypothyroidism
TREATMENT
Treat the cause
Blood transfusion
I.V fluids
Vasoconstrictors
BLOOD PRESSURE MONITORING.pptx

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BLOOD PRESSURE MONITORING.pptx

  • 1. BLOOD PRESSURE MONITORING BY:- DR. SOUBHAGYA RANJAN DAS JR-2 MEDICINE
  • 2. INTRODUCTION • Blood pressure(BP) is a measure of the force that the circulating blood exerts against the arterial wall. A. SYSTOLIC PRESSURE:- It is the maximum pressure exerted by the blood against the arterial walls. • It results when the ventricles contract(systole). B. DIASTOLIC PRESSURE:- It is the lowest pressure exerted by the blood against the arterial walls. It results when the ventricles are relaxed(diastolic)
  • 3. SIGNIFICANCE • To ensure the blood flow to various organs • Plays an important role in exchange of nutrients and gases across the capillaries. • Required to form urine • Required for the formation of lymph
  • 5. PHYSIOLOGICAL VARIATION IN BP AGE SLEEP BUILD GESTATION CLIMATE INTAKE DIURNAL VARIATION PAIN EXERCISE POSTURE FEVER SEX
  • 6. RECORDING OF BP • METHODS:- • 1.Palpatory method • 2. Auscultatory method
  • 8. TECHNIQUE • Patient seated and relaxed,not talking,legs uncrossed. • Tight arm clothing removed. • Correct cuff size. • Arm supported with cuff horizontal wit heart. • Inform patient of discomfort and that several measurements will be taken. • Sphygmomanometer on firm and level surface at eye level. • Locate brachial or radial pulse
  • 9. • Place stethoscope gently over brachial artery. • Inflate mercury rapidly, 30mm above occlusion of pulse. • Deflate slowly ,2mm per second. • Record first of regular sound(systolic BP). • Record diastolic as disappearance of sound. • Record measurement to the nearest 2mm of Hg • Repeat twice more and average of last two.
  • 10. HYPERTENSION • Defines as an elevation of systolic blood pressure. • 30% of people over 50 are hypertensive. • Never diagnosed on one reading. • Indication of cardiovascular disease. • Trauma • Side effects of medications • 90% are Primary(Essential) & 10% are Secondary.
  • 11.
  • 12. PREDISPOSING FACTORS • Obesity • Herediatry • Alcoholism • Stress • Smoking • Sedentary life
  • 13. SECONDARY HYPERTENSION CAUSES:- 1. RENAL- Acute & Chronic Glomerulonephritis, Nephrotic syndrome 2. Endocrine- Cushing’s , Conn’s, Thyrotoxicosis, Pheochromocytoma 3. Vascular- Atherosclerosis, Arteriosclerosis
  • 14. TREATMENT OF HYPERTENSION • Modification of Lifestyle: Cessation of smoking. Moderation in alcohol intake. Weight reduction. Programmed exercise. Reduction in Na intake. Diet high in K. Relaxation technique- Yoga
  • 16. HYPOTENSION • Defined in adults as blood pressure below 90/60 mmHg. • Causes:- 1. Hemorrhage 2. Dehydration 3. Sepsis 4. Vomiting 5. Diarrhea 6. Excessive sweating 7. Adission’s disease 8. Hypothyroidism
  • 17. TREATMENT Treat the cause Blood transfusion I.V fluids Vasoconstrictors