Abstract
Article: Pilot Application of Varied Equipment and Procedural Techniques to Determine Clinical Blood Pressure Measurements
Authors: John P. Mickley, BS, Kevin D. Evans, PhD, RT(R)(M)(BD), RDMS, RVS, FSDMS, Rachel L. Tatarski, MS, LAT, ATC, and Carolyn M. Sommerich, PhD, CPE
Category: Cardiac (Adult) [AE]
Credit: 1.25 SDMS CME Credit
Objectives: After studying the article entitled “Pilot Application of Varied Equipment and Procedural Techniques to Determine Clinical Blood Pressure Measurements,” you will be able to:
Understand the definition of hypertension
Understand the physical factors that can affect BP readings
Understand the discrepancy between equipment and protocols
Describe a normal BP according to the American Heart Association (AHA) guidelines: Systolic component should be less than 100 mm Hg and greater than 80 mm Hg for the diastolic component of the cardiac cycle Systolic component should be greater than 180 mm Hg and less than 80 mm Hg for the diastolic component of the cardiac cycle Systolic component should be less than 120 mm Hg and less than 80 mm Hg for the diastolic component of the cardiac cycle Systolic component should be more than 120 mm Hg and less than 80 mm Hg for the diastolic component of the cardiac cycle.
Describe the number of adults in the United States who have high BP: One in three adults Two in three adults One in five adults Four of five adults
The following best describes hypertension: A condition that requires daily insulin injections A condition that exerts metabolic changes to cause weight gain A condition that exerts excessive force to cause back pain A condition that exerts excessive force on blood vessel walls
Describe three conditions that affect BP measurement: Placement of feet, arm supported at the heart level, and cuff on bare skin Lying down, breathing pattern, and hydrated Chatting on the phone, legs placed on floor, and cuff on bare skin Breathing pattern, cuff on bare skin, and legs crossed
Identify how long you should wait to take a second BP on the same patient: 3 to 5 seconds 3 to 5 minutes 1 to 3 seconds 1 to 3 minutes
What percentage of the US population (20 years and older) is at risk for hypertension? 33% 50% 45% 75%
Which statement best describes the conclusion of this article? The sample size was too small to come to any conclusion. There is a significant discrepancy be-tween equipment but not protocol. There is no significant discrepancy be-tween equipment and protocol. There is a significant discrepancy be-tween equipment and protocol.
Identify the statement that best describes Figure 5 in this article: Demonstration of the classifications using the current AHA hypertension guidelines based on BP readings with four test machines Demonstration of the maximum BP obtained with each of the four test machines Demonstration of distribution of maximum BP Demonstration of the need for new BP guidelines
Which statement best describes the fundamental basic ideals when taking a BP? Accuracy and speed Consistency and accuracy Use of a digital BP device Use of a manual BP device
Which statement best describes the goal of this pilot work? To lobby the EPA to allow the “gold-standard” mercury manometers to be used To assess BP that could assist providers and improve patient care To promote increased sales of the home digital BP device To encourage patients to make a doctor appointment to have their BP checked
Footnotes