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Blood pressure measurement by pharmacists
Abstract:
The feasibility of blood pressure measurement by general practice pharmacists was examined in nine pharmacies. Two hundred and fifteen subjects were screened and 13 were referred to their general practitioners. Ten subjects (five per cent of the initial sample) were confirmed to be hypertensive by their doctors. The upper limits of normotension were 160/100 mmHg aged up to 50 years, 160/105 mmHg aged 51-60 years and a diastolic pressure of 110 mmHg over 60 years. Ninety-eight per cent of a sample of the lay public who completed a written questionnaire were in favour of blood pressure measurement by pharmacists. The study showed that general practice pharmacists were able to measure blood pressure within acceptable limits of accuracy and that, with the collaboration of general practitioners, the pharmacies were suitable agencies for screening for hypertension.
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Sites for measuring blood pressure
The Brachial Artery: Primary Site for Blood Pressure Measurement
Equipments Used To Measure Blood Pressure
This invasive approach involves cannulating a peripheral artery. During each cardiac contraction, pressure generates mechanical motion within the catheter, transmitted through rigid, fluid-filled tubing to a transducer. This transducer converts mechanical motion into electrical signals displayed as waveforms on a monitor. An automatic flushing system prevents blood backflow. Due to the potential risk of unexpected arterial blood loss, this method is primarily used in intensive...
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Assessment of blood pressure in brachial artery(two-step method)
Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Measurement of Blood Pressure