write Precautions while measuring handing sphygmomanometer? 80words
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blood pressure measuring device
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- Aneroid and digital manometers may require periodic calibration.
- Use a larger cuff on obese or heavily muscled subjects.
- Use a smaller cuff for pediatric patients.
- For pediatric patients a lower blood pressure may indicate the presence of hypertension.
- Don't place the cuff over clothing.
- Flex and support the subject's arm.
- In some patients the Korotkoff sounds disappear as the systolic pressure is bled down. After an interval, the Korotkoff sounds reappear. This interval is referred to as the "auscultatory gap." This pathophysiologic occurrence can lead to a marked under-estimation of systolic pressure if the cuff pressure is not elevated enough. It is for this reason that the rapid inflation of the blood pressure cuff to 180mmHg was recommended above. The "auscultatory gap" is felt to be associated with carotid atherosclerosis and a decrease in arterial compliance in patients with increased blood pressure.
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