Blood pressure

 Blood Pressure 

Definition: 

 

Blood pressure (BP) is a measurement of the pressure or force 

exerted by the blood on the walls of the arteries in which it is contained. 

Mechanism of Blood Pressure: 

1. Each time the ventricles contract: 

 

 Blood is pushed out of the heart and into the aorta and 

pulmonary aorta, exerting pressure on the walls of the 

arteries. 

 This phase in the cardiac cycle is known as systole, and it 

represents the highest point of blood pressure in the body, or 

the systolic pressure. 

 The phase of the cardiac cycle in which the heart relaxes 

between contractions is referred to as diastole. 

 The diastolic pressure (recorded during diastole) is lower 

because the heart is relaxed. 

2. Contraction and relaxation of the heart result in two different 

pressures, systolic and diastolic. 

Interpretation of Blood Pressure: 

 

1. Blood pressure measurement is expressed as a fraction. The 

numerator is the systolic pressure, and the denominator is the 

diastolic pressure. 

2. The standard unit for measuring blood pressure is millimeters of 

mercury (mm Hg)

 

3. A blood pressure reading of 110/70 mm Hg means that there was 

enough force to raise a column of mercury 110 mm during systole 

and 70 mmduring diastole. 

Based on guidelines from the National Heart, Lung, and Blood Institute 

(NHLBI): 

1. A blood pressure120/80 mm Hg is classified as normal. 

 

2. Blood pressure should be: 

 

 Taken during every office visit to allow the physician to 

compare the patient‘s readings over time. 

 This is a good preventive measure in guarding against 

serious illness. 

 A single blood pressure reading taken on one occasion does 

not characterize an individual‘s blood pressure accurately. 

3. Several readings, taken on different occasions, provide a good 

index of an individual‘s baseline blood pressure. 

4. Blood pressure readings should always be interpreted using a 

patient‘s baseline blood pressure. 

5. An increase or decrease of 20 to 30 mm Hg in a patient‘s baseline 

blood pressure is significant, even if it is still within the normal 

accepted blood pressure range. 

The most common condition that causes an abnormal blood pressure 

reading is: 

1. Hypertension, or high blood pressure, results from excessive 

pressure on the walls of the arteries. 

2. Hypertension: is determined by a sustained systolic blood pressure 

reading of 140 mm Hg or greater or a sustained diastolic reading of 

90 mm Hg or greater. 

3. Hypotension, or low blood pressure, results from reduced pressure 

on the arterial walls. 

4. Hypotension is determined by a blood pressure reading less than 

95/60 mm Hg . 

Pulse Pressure: 

 

1. The difference between systolic and diastolic pressure is the pulse 

pressure. 

2. It is determined by subtracting the smaller number from the larger. 

If the blood pressure is 110/70 mm Hg, the pulse pressure would be 

40 mm Hg. 

3. A pulse pressure between 30 and 50 mm Hg is considered to be 

within normal range. 

Factors Affecting Blood Pressure: 

 

1. Blood pressure does not remain at a constant value. 

 

2. Numerous factors may affect it throughout the course of the day. 

 

3. An understanding of these factors helps to ensure an accurate 

interpretation of blood pressure readings. 

Age: Age is an important consideration when determining whether a 

patient‘s blood pressure is normal. As age increases, the blood 

pressure gradually increases: 

 A 6-year-old child may have a normal reading of 90/60 mm 

Hg, whereas a young, healthy adult may have a blood 

pressure reading of 116/76 mm Hg, and it would not be 

unusual for a 60-year-old man to have a reading of 130/90 

mm Hg. 

 As an individual gets older, there is a loss of elasticity in the 

walls of the blood vessels, causing this increase in pressure 

to occur. 

Gender: After puberty, women usually have a lower blood pressure  

than men of the same age. After menopause, women usually 

have a higher blood pressure than men of the same age. 

Diurnal variations: 

 

 Fluctuations in an individual‘s blood pressure are normal 

during the course of a day. 

 When one awakens, the blood pressure is lower as a result of 

the decreased metabolism and physical activity during sleep. 

 As metabolism and activity increase during the day, the 

blood pressure rises. 

Emotional states: 

 

 Strong emotional states, such as anger, fear, and excitement, 

increase the blood pressure. 

 If the medical assistant observes such a reaction, an attempt 

should be made to calm the patient before taking blood 

pressure. 

Exercise: Physical activity temporarily increases the blood pressure. To 

ensure an accurate reading, a patient who has been involved 

in physical activity should be given an opportunity to rest for 

20 to 30 minutes before blood pressure is measured.

Body position: 

 

 The blood pressure of a patient who is in a lying or standing 

position is usually different from that measured when the 

patient is sitting. 

 Notation should be made on the patient‘s chart if the reading 

was obtained in any position other than sitting, using the 

following abbreviations: L (lying) and St (standing). 

Medications: Many medications may increase or decrease the blood 

pressure. Because of this factor, it is important to record in 

the patient chart all prescription and over-the-counter 

medications that the patient is taking. 

Other factors: Other factors that may increase the blood pressure 

include pain, a recent meal, smoking, and bladder distention. 

Assessment of Blood Pressure: 

The equipment needed to measure blood pressure includes a 

stethoscope and a sphygmomanometer: 

1. The stethoscope amplifies sounds produced by the body and allows 

the medical assistant to hear them. Stethoscope 

2. The most common type of stethoscope used in the medical office is 

the acoustic stethoscope. 

It consists of four parts: 

 

1. Earpieces. 2.  Sidepieces known as 

binaural 

3. Plastic or rubber tubing 4. A chest piece. 


Stethoscope Chest Piece: 

 

1. Two types of chest pieces exist: a diaphragm, which is a large, flat 

disc and a bell which has a bowl-shaped appearance. 

2. The chest piece of a stethoscope consists of a diaphragm and a bell, 

or just a diaphragm. 

3. If a chest piece consists of a diaphragm and a bell, the medical 

assistant ensure the desired piece is rotated into position before use. 

4. Failure to do so would not allow the medical assistant to hear sound 

through the earpieces. 

 

Fig (40): Parts of a stethoscope and Types of chest pieces. 

 

Patient Teaching Hypertension: 

 

Answer questions patients have about hypertension. 

 

What is high blood pressure? 

 

1. Blood pressure is the force of blood against the walls of the 

arteries. 


2. High blood pressure, also called hypertension, means the pressure 

in the arteries is consistently above normal (140/90 mm Hg), 

resulting in excessive pressure on the walls of the arteries. 

What are the symptoms of high blood pressure? 

 

1. Approximately one third of people who have high blood pressure 

are unaware of it because there are few or no symptoms and, as a 

result, an individual with hypertension may go undiagnosed for 

many years. 

2. If symptoms do occur, they may include one or more of the 

following: headaches, dizziness, flushed face, fatigue, epistaxis 

(nosebleed), excessive perspiration, heart palpitations, frequent 

urination, and leg claudicating (cramping in the legs with walking). 

3. The only way to know for sure whether you have high blood 

pressure is to have it checked regularly. 

What causes high blood pressure? 

 

1. In about 90% of cases, the precise cause of high blood pressure is 

unknown. 

2. This type of hypertension is known as essential or primary 

hypertension. 

3. Certain factors seem to increase the risk of developing essential 

hypertension, however, including: 

 Heredity: A family history of high blood pressure increases 

an individual‘s risk of developing high blood pressure. 

 Weight: Individuals who are overweight or obese are two to 

six times more likely than the general population to develop 

high blood pressure. 


 Ethnicity: Research has shown that more black than white 

Americans develop high blood pressure. 

 Age: Blood pressure normally increases as one grows older. 

 Sodium intake: 

 Sodium, found in salt and processed, canned, and most 

snack foods, does not cause high blood pressure; 

however, it can aggravate high blood pressure. 

 Most Americans consume more sodium than they 

need. The current recommendation is to consume less 

than 2.4 g (2400 mg) of sodium per day. 

 This is equivalent to 6 g (about 1 teaspoon) of salt. 

 

 Stress: Research indicates that people who are under 

continuous stress tend to develop more heart and circulatory 

problems than people who are not under stress. 

 Smoking: Smoking tobacco constricts blood vessels, causing 

an increase in blood pressure. 

 Alcohol consumption: Heavy alcohol consumption may 

increase the blood pressure. 

 The remaining 10% of individuals with hypertension 

have secondary hypertension. 

 This means that the high blood pressure can be linked 

to a known cause, which includes chronic kidney 

disease, adrenal and thyroid disease, narrowing of the 

aorta, steroid therapy, oral contraceptives, and 

preeclampsia associated with pregnancy. 

What can happen if high blood pressure is not treated? 

 

1. If high blood pressure is not brought under control: 

 It can cause severe damage to vital organs, such as the heart, 

brain, kidneys, and eyes. 

 This damage can result in a heart attack or heart failure, 

stroke, kidney damage, or damaged vision. 

 Early detection and treatment of high blood pressure can 

prevent these complications. 

2. High blood pressure is often discovered during a routine medical 

examination or (less commonly) when an individual experiences 

one of the complications of hypertension caused by damage to a 

vital organ. 

Can high blood pressure be cured? 

 

1. Essential hypertension cannot be cured, but many treatments are 

used to bring it under control. 

2. These include lifestyle modifications, such as weight reduction, a 

healthy diet rich in fruits and vegetables and low in saturated fat, 

limitation of salt intake, regular aerobic exercise, cessation of 

smoking, limitation or elimination of alcohol consumption, and 

stress management. 

3. If lifestyle modifications alone are not enough, medications are 

available for reducing blood pressure, allowing the patient to lead a 

normal, healthy, active life. 

How long will I undergo treatment? 

 

1. Treatment for essential hypertension is usually lifelong. 

 

2. Even if you feel fine, you will probably have to continue treatment 

for the rest of your life to maintain your blood pressure in a healthy 

range. 


3. If you discontinue your diet and lifestyle changes or stop taking 

your medication, your blood pressure will increase again. 

Encourage: patients with hypertension to adhere to the treatment 

prescribed by the physician. Help patients remember to take 

their medication by telling them to associate their medication 

schedule with a daily routine, such as brushing their teeth or 

having meals. 

Provide: the patient with educational materials on high blood pressure 

available from sources such as the American Heart 

Association. 

The diaphragm chest piece is more useful for hearing high-pitched 

sounds, such as lung and bowel sounds, whereas the bell chest 

piece is more useful for hearing low-pitched sounds, such as 

those produced by the heart and vascular system. 

Before using a stethoscope, the medical assistant should ensure that it is 

in proper working condition. 

Sphygmomanometers: 

 

1. The sphygmomanometer is an instrument that measures the 

pressure of blood within an artery. 

2. It consists of a manometer, an inner inflatable bladder surrounded 

by a covering known as the cuff, and a pressure bulb with a control 

valve to inflate and deflate the inner bladder. 

3. The manometer contains a scale for registering the pressure of the 

air in the bladder. 

The Two Types of Sphygmomanometers are the Aneroid and 

Mercury: 


The aneroid sphygmomanometer is lightweight and portable, but the 

mercury sphygmomanometer is more accurate. 

1. Aneroid Sphygmomanometer: 

 

 The aneroid sphygmomanometer (see figure 24) has a 

manometer gauge with a round scale. 

 The scale is calibrated in millimeters, with a needle that 

points to the calibrations (see figure 25). 

 To ensure an accurate reading, the needle must be positioned 

initially at zero. 

 The manometer must be placed in the correct position for 

proper viewing. 

 The medical assistant should be no farther than 3 feet from 

the scale on the gauge of the manometer, and the manometer 

should be placed so that it can be viewed directly. 

 At least once a year, an aneroid sphygmomanometer should 

be recalibrated to ensure its accuracy. 

Fig (41). The parts of an aneroid sphygmomanometer. 

 

2. Mercury Sphygmomanometer: 


 The mercury sphygmomanometer (see figure 26) has a 

vertical tube calibrated in millimeters that is filled with 

mercury. 

 Although more accurate than the aneroid 

sphygmomanometer, the use of the mercury 

sphygmomanometer is being discouraged because mercury is 

a hazardous chemical. 

 If a mercury manometer is used to measure blood pressure, it 

must be placed in the correct position for proper viewing. 

 The medical assistant should be no farther than 3feet from 

the scale of the manometer. 

 A portable mercury manometer should be placed on a flat 

surface so that the mercury column is in a vertical position. 

 The wall model mercury manometer is mounted securely 

against a wall, placing the mercury column in a vertical 

position. 

The Following Guidelines Must be Followed when Measuring Blood 

Pressure with a Mercury Sphygmomanometer: 

1. Before the blood pressure reading is obtained, the mercury must be 

even with the zero level at the base of the calibrated tube: 

 Pressure created by inflation of the inner bladder causes the 

mercury to rise in the tube. 

 The top portion of the mercury column, the meniscus, curves 

slightly upward. 


 The blood pressure should be read at the top of the meniscus, 

with the eye at the same level as the meniscus of the mercury 

column. 

.  

Fig (42): The parts of a mercury sphygmomanometer. 

 

2. Cuff Sizes: 

 

 Blood pressure cuffs come in a variety of sizes and are 

measured in centimeters (cm). 

Fig (43): Blood pressure cuffs: child, adult, and thigh. 

 The size of a cuff refers to its inner inflatable bladder, rather 

than its cloth cover. 

 For accurate blood pressure measurement, the inner bladder 

of the cuff should encircle at least 80% of the arm 

circumference and be wide enough to cover two thirds of the 


distance from the axilla to the antecubital space (see figure 

28). 

 Child cuffs often must be used for adults with thin arms. 

 

Fig (44): A Determination of proper site and cuff size. 

 

 The adult cuff is used for the average-sized adult arm, and 

the thigh cuff is used for taking blood pressure from the  

thigh or for adults with large arms. 

 If the cuff is too small, the reading may be falsely high, as it 

would be, for example, when an adult cuff is used on a 

patient with a large arm. 

 If the cuff is too large, the reading may be falsely low, as it 

would be when an adult cuff is used with a patient with a  

thin arm. 

 The cuff should fit snugly and should be applied so that the 

center of the inflatable bag is directly over the brachial artery 

to allow for complete compression of the artery. 

 The cuff has an interlocking, self-sticking substance (Velcro) 

that facilitates closing and fastening the cuff in place 

temporarily. 

 Korotkoff Sounds Korotkoff sounds are used to determine 

the systolic and diastolic blood pressure readings. 

 When the bladder of the cuff is inflated, the brachial artery is 

compressed so that no audible sounds are heard through the 

stethoscope. 

 As the cuff is deflated, at a rate of 2 to 3 mm Hg per second, 

the sounds become audible until the blood flows freely and 

they can no longer be heard. 

Fig (45): Inflation of cuff compresses and closes off brachial artery. 

 

The medical assistant should practice listening to these sounds and be 

able to identify the various phases. 

1. Phase I: First faint but clear tapping sound is heard, and it 

gradually increases in intensity. First tapping sound is systolic 

pressure. 

2. Phase II: As cuff continues to deflate, sounds have murmuring or 

swishing quality. 

3. Phase III: With further deflation, sounds become crisper and 

increase in intensity. 

4. Phase IV: Sounds become muffled and have soft, blowing quality. 


5. Phase V: Sounds disappear. 

 

N.B.This is typically recorded as diastolic pressure for an adult. Some 

authorities believe that adult diastolic pressure falls midway between 

phases IV and V; some physicians want the medical assistant to 

record phases IV and V as the diastolic pressure (e.g., 120/84/80). 

Prevention of Errors in Blood Pressure Measurement: 

 

The following guidelines should be followed to prevent errors in blood 

pressure measurement: 

1. Instruct the patient not to consume caffeine or use tobacco for 30 

minutes before blood pressure measurement. 

2. The patient should be seated in a quiet room for at least 5 minutes 

before blood pressure is taken: 

 Patient anxiety and apprehension can cause a spasm of the 

brachial artery, which can increase the blood pressure 

reading by as much as 30 to 50 mm/Hg. 

 This is known as the ―white coat effect,‖ which refers to the 

white laboratory coat worn by the physician. 

3. Always use the proper cuff size: 

 

 If the cuff is too small, it may come loose as the cuff is 

inflated, or the reading may be falsely high. 

 If the cuff is too large, the reading may be falsely low. 

 The inner inflatable bladder of the cuff should encircle at 

least 80% of the patient‘s arm and cover two thirds of the 

distance from the axilla to the antecubital space. 

4. Never take blood pressure over clothing: 

 

 Clothing interferes with the ability to hear the Korotkoff 

sounds, which could result in an inaccurate blood pressure 

reading. 

 Roll up the patient‘s sleeve approximately 5 inches above the 

elbow. 

 If the sleeve is too tight after being rolled up, remove the arm 

from the sleeve. 

 A tight sleeve causes partial compression of the brachial 

artery, resulting in an inaccurate reading. 

5. Position the patient‘s arm properly: 

 

 Position the arm at heart level, and ensure it is well 

supported with the palm facing upward. 

 If the arm is above heart level, the blood pressure reading 

may be falsely low. 

 If the arm is not supported or placed below heart level, the 

blood pressure reading may be falsely high. 

6. Avoid extraneous sounds from the cuff: 

 

 Position the cuff approximately 1 to 2 inches above the bend 

in the elbow. 

 The cuff should be up far enough to prevent the stethoscope 

from touching it; otherwise, extraneous sounds, which could 

interfere with an accurate measurement, may be picked up. 

7. Compress the brachial artery completely: 

 

 Center the inner bladder of the cuff directly over the artery to 

be compressed. 


 Most cuffs are labeled with arrows indicating the center of 

the bladder for the right and left arms. 

 Centering the inner bladder allows for complete compression 

of the brachial artery. 

8. Apply equal pressure over the brachial artery: 

 

 The cuff should be applied so that it fit smoothly and snugly 

around the patient‘s arm. 

 This prevents bulging or slipping and permits application of 

an equal pressure over the brachial artery. 

 A loose-fitting cuff can cause a falsely high reading. 

9. Position the earpieces so that you can hear the sounds clearly: 

 

 Place the earpieces of the stethoscope in your ears with the 

earpieces directed slightly forward. 

 This allows the earpieces to follow the direction of the ear 

canal, which facilitates hearing. 

10. Avoid extraneous sounds from the tubing: 

 

 Make sure the tubing of the stethoscope hangs freely and is 

not permitted to rub against any object. 

 If the stethoscope tubing rubs against an object, extraneous 

sounds may be picked up, which could interfere with an 

accurate measurement. 

11. Position the chest piece properly: 

 Palpate the brachial pulse to provide good positioning of the 

chest piece over the brachial artery. 


 Place the chest piece firmly, but gently, over the brachial 

artery to assist in transmitting clear and audible sounds. 

 Do not allow the chest piece to touch the cuff to prevent 

extraneous sounds from being picked up, which could 

interfere with an accurate measurement. 

12. Release the pressure at a moderate steady rate: 

  Release the pressure in the cuff at a rate of 2 to 3 mm  

Hg/sec to ensure an accurate blood pressure measurement. 

 Releasing the pressure too slowly is uncomfortable for the 

patient and could cause a falsely high diastolic reading. 

 Releasing the pressure too quickly could cause a falsely low 

systolic reading. 

13. Avoid venous congestion: 

 If you need to take the blood pressure in the same arm again, 

wait 1 to 2 minutes to allow blood trapped in the veins 

(venous congestion) to be released. 

 Venous congestion can result in a falsely high systolic 

reading and a falsely low diastolic reading. 

14. Measure and record the blood pressure in both arms during the 

initial blood pressure assessment of a new patient: 

 There may normally be a difference of 5 to 10 mm Hg 

between the two arms. 

 During return visits, the blood pressure should be measured 

in the arm with the higher initial reading. 

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