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Lynn Lawrence, CPOT, ABOC.  It can be a vascular disease  The pressure that blood inside the vessels are exerting on the walls of the vessels  Can.

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Presentation on theme: "Lynn Lawrence, CPOT, ABOC.  It can be a vascular disease  The pressure that blood inside the vessels are exerting on the walls of the vessels  Can."— Presentation transcript:

1 Lynn Lawrence, CPOT, ABOC

2  It can be a vascular disease  The pressure that blood inside the vessels are exerting on the walls of the vessels  Can be constant or intermittent

3  Systolic – Pressure exerted on your vessels when the heart contracts and is pumping blood  Diastolic - Pressure exerted on your vessels when the heart is at rest  These can change throughout the day and activities have an impact too

4 Right Atria Left Atria Right Ventricle Left Ventricle

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6  Reducing body weight  Restricting dietary salt  Decreasing fat  Not smoking  Avoiding excess alcohol  Exercising regularly  Developing relaxing techniques  Taking medication as prescribe

7  It is the same as high blood pressure  When your blood pressure is high, your heart must work harder to pump the same amount of blood through your arteries  This can damage your heart, kidneys, vessels and eyes  Major cause of cerebrovascular accident (stroke), cardiac disease, and renal failure

8  Primary is the most common type and it’s cause are unknown.  Secondary may be the result of renal vascular disease, renal parenchymal disease, Cushing’s syndrome, DM, dysfunction of the thyroid or adrenal gland, pregnancy, and some neurologic disorders

9  Head aches  Blurred vision  Chest pain  Frequent night urination  Nose bleeds  Dizziness/fatigue  Stroke…sudden death of tissue  Heart attack  Hypertensive retinopathy, hemorrhage, exudates, papilledema, subconjunctival hemorrhages

10  Why is high blood pressure dangerous to a diabetic patient?

11 a. Diabetes is a vascular disease and high pressure through weaken vessels is a bad combination

12  The kidneys play what role in blood pressure?

13  The kidneys play what role in blood pressure A. Aids in maintaining pressure and volume by vasoconstriction, regulation of sodium, and fluid levels

14  Why is it important to ask about BP during a screening?  How about the family Hx?

15  Should I take blood pressure before or after I dilate my patient. Why?

16 Tools of the trade

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18  Have the patient relax 20 minutes  Arm should be at heart level  Place the Blood Pressure Cuff on the arm ◦ Above the elbow over the Brachial Artery

19  Select the correct cuff size  Have the patient relax their arm.  Find the Radial pulse.

20  Inflate the blood pressure cuff until you can no longer feel a pulse.  Then inflate 30mmHg more.  At least 200mmHg

21  Place your stethoscope over the brachial artery.  Begin deflating the cuff slowly until you hear the pulse return.  This is your Systolic Pressure.

22  Listen until you no longer hear a pulse.  This is the Diastolic Pressure.

23  Systolic greater than 140*  Diastolic greater than 90*  Difference less than 30 between the Systolic and Diastolic Pressures.*  140/90  210/120 severe hypertension  These are general guidelines and may differ from the guidelines that the provider you are employed by uses.

24  Blood Pressures are Documented as  Systolic / Diastolic

25  Using your index and middle fingers, apply gentle pressure at the Radial Artery.  Count the beats for 30 seconds and multiply by 2.

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27 Striated hemorrhages in the fundus

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