Introduction
This essay will reflect on my personal experience, skills, and knowledge gained from my studies and practice of undertaking blood pressure (Bp) whilst completing my professional placement.
Bp may be defined as a force of blood against vessel walls in the body, consisting of systolic and diastolic pressure measured in millimeters of mercury. (Waugh and Grant, 2016) Systolic pressure occurs when the hearts left ventricle contracts and forces blood into the aorta causing a heightened atrial pressure, while diastolic pressure refers to complete cardiac diastole, this is when the aortic valve closes and pressure is at its lowest between beats, blood moves into smaller corresponding vessels and the heart rests. (Marieb and Hoehn, 2016)
In my clinical setting, it was expected that a level of proffesional protocol is carried out for a correct, and safe arterial reading while maintaining a hygienic and aseptic approach that is safe, and reduces the risk of detrimental harm to myself as a healthcare professional and to the patient in my care.
Bp is read from patients as a matter of determining illness by monitoring what is known as a NEWS score, presenting a validating number to recognise the level of health of an individual. (Royal College of Nursing, 2015) Hypertension, high blood pressure, or hypotension, low blood pressure, can be a sign of a decreased state of health for my patients, therefore it was imperative that a bp exam is carried out in the correct way for the
High blood pressure (hypertension) is defined as having a systolic reading equal to, or more than 140mmHg and a diastolic reading equal to, or more 90mmHg. Hypertension can be caused by stress, medication (steroids), obesity, diet, alcohol, smoking and hereditary factors. The renal system works with the circulation system to remove waste products and fluid from the body. Blood pressure rises if the volume of blood increases, due to fluid retention in the body or from disease of the kidneys. The effects of hypertension include angina, heart attack, heart failure, stroke, kidney failure and peripheral arterial disease (poor circulation in the
This device measured blood pressure with an external cuff on the patient’s arm or leg Arterial Line Monitoring* IMPORTANT Remember to re-calibrate the system to each patient when attaching the line! Instructions Attach module and cable to the monitoring system Select the arterial line (ART) via the touch screen, this sets a label for the screen Select color choice and size of the waveform via the touch screen Calibrate, also known as “zeroing” the waveform by using hospital system procedures and opening the line to air while touching the “zero” button (Note: An audio tune and message on the screen will be displayed once the calibration is
Student is able identify normal and abnormal blood pressure perimeters. Student is able to explain the proper procedures for reporting abnormal blood pressure readings. Student is able to education patient on
Coronary artery disease is usually caused by atherosclerosis. Cholesterol and other fatty substances accumulate on the inner wall of the arteries. This attracts fibrous tissue, blood components, and calcium, which harden into flow-obstructing plaques. If a blood clot suddenly forms on one of these plaques it can convert a partial obstruction to a total occlusion. When the blockage is temporary or partial, angina (chest pain or pressure) may occur.
O Brien exhibits orthostatic BP as his position changes. As his BP decreases, his pulse and respirations increase to compensate for the baroreceptors sense of low BP. Lying his BP is 120/84, P73, R 16, sitting the BP drops slightly, pulse and respirations increase slightly to compensate to 114/73, P 83, as he stands the BP drops to 96/61, the pulse and respirations drastically increase to perfuse and oxygenate for the low BP. 3. Which clients are at greatest risk for falls in the acute care setting?
In this case, the inflation pressure should be adjusted manually in order to prevent oozing from an increase in systolic blood pressure or not to apply unnecessary high inflation pressures from a decrease in systolic blood pressure. Since this needs an additional time and work for the personnel, a fixed safety margin of 100-150 mmHg has been suggested to add the patient’s
High blood pressure affects a lot of people all over the world regardless of their age and sex. Having high blood pressure increases your risk of several health issues such as heart attack, stroke, and the like. Our blood doesn't move along our circulatory system on its own but rather with the force of our heart beat and the blood vessel walls that aid in pushing the blood throughout the circulatory system. The rise and fall of the pressure on our blood is quite normal but when there is a lot of pressure present, it can cause high blood pressure which is dangerous to our health when it is not regulated as soon as possible. There are certain medications that can help in reducing high blood pressure as well as changes in diet to keep our heart in good condition.
Blood pressure fluctuates throughout the day and normally decreases during nighttime. Patients can be classified as either dippers or non-dippers dependent on how much their blood pressure decreases over the course of the night. Dippers are considered patients whose blood pressure reduces by at least 10% during the night in comparison to their daytime readings, a dipping pattern is desired. The goal blood pressure for nighttime is <0.005). Nondipping blood pressure is a common manifestation associated with cardiovascular risk factors such as diabetes, chronic kidney function and coronary artery disease which may have an impact on all-cause mortality results, since these comorbidities are more prevalent in nondipping patients.
The requested service is not medically necessary because: After review of the clinical information provided by Dr. Corinne Benchimol, the Medical Director has determined that Ambulatory Blood Pressure Monitoring Device (monitors blood pressure as you move around) is not medically necessary. The information we have does not support the need for an Ambulatory Blood Pressure Monitoring Device (monitors blood pressure as you move around). You can use a standard device to take your blood pressures during the day into the evening. The information we have does not explain why a standard approach to frequent blood pressure checks could not be followed to monitor and adjust treatment based on those results. The request has been denied as not medically
‘’Blood pressure is a measure of the force that your heart uses to pump blood around your body. Blood pressure is measured in millimetres of mercury (mmHg) and is given in two figures: systolic pressure and diastolic pressure’’. (www.nhs.uk/blood pressure). ‘’Systolic blood pressure is each heartbeat cycle when the heart contracts causing a peak in arterial blood pressure called systolic pressure’’ (Walker, R. 2002).
This clinical experience has really helped me to sharpen my communication skills and realize just how important it is to understand mental health. We are told multiple times in class that mental health issues can be seen on any floor and that is the truth. I’ve seen patients in my older adult clinical on the pulmonary floor suffer from issues that range from anxiety to bipolar disorder and depression. Being able to understand how to approach people that suffer from these types of illnesses, allows us, the nurses, to give the patient the best care that we can. It helps to build a trusting relationship and get to know them on a personal level.
I arrived at Hospice around 0750. I gave the name of our contact, and she showed me where I needed to go. There was a little confusion with who I was going to go with, so I waited outside the office until they were able to figure it out. I ended up getting placed with a lady named Judy and she was very helpful throughout the day. We sat in her office until nine and she just asked me questions about myself, like where I was from and what kind of nursing I was interested in going into.
The Basic Facts of High Blood Pressure The heart is a tough operating mechanism which moves blood around the body through a very advanced system called arteries and capillaries; the blood is then carried back to the heart by means of veins. Blood pressure is the thrust of this blood in the body pushing up against the inside walls of the arteries as the heart is pumping. high blood pressure, systolic, diastolic, heart Article Body: The heart is a tough operating mechanism which moves blood around the body through a very advanced system called arteries and capillaries; the blood is then carried back to the heart by means of veins.
Scale is used so-called "millimeters of mercury" (mm Hg) to measure the pressure in the blood vessels. Another option is to get a blood pressure measuring devices are available in many pharmacies. What blood pressure numbers mean: Blood pressure is measured using two numbers. The first number, called systolic blood pressure, measures the pressure in your blood vessels when your heart beats. The second number, called diastolic blood pressure, measures the pressure in your blood vessels when your heart rests between
Last semester was composed of a critical care lecture class and two clinical courses, which were mental health and community. I try my best to be open-minded and willing to make every new experience a learning opportunity. For my community clinical we were placed at an assisted living center. For our first few meetings I could tell that the group’s overall impression of our placement was not favorable. At first the feelings about our clinical were not spoken outright and could be seen as withdrawal.