90/64, when you hear the first sound around 130 and disappear then repick up at 90 it's called an auscultatory gap. Meaning it's diminished sounds when taking a systolic pressure. When taking a BP you want consistent flow of sounds at it's peak and end. Not a sound then it disappears = the auscultatory gap. This gap can give you false systolic readings.
Hmm... I was taught to still use the first sound for systolic, even if the gap is present, and then note the duration of the gap in the documentation. 🤔
step 1: pump until you don't hear any beating, keep your attention at the meter. step 2: deflate tha cuff slowly until you hear the first beat, this number is your systolic step 3: continue to deflate cuff until the last beat when the beating goes silent, this is your diastolic
@@debbiefriesen3413 or a minimum of 3.5 minutes. Equally important is 3.5 to 5 minutes of patient/person sitting still, no talking or chewing gum, and with feet flat on the floor immediately prior to taking BP. If you decide on a second reading, using these same parameters is what can reduce the 5 minutes to a 3.5 before restarting.
I heard the first beat at around 130 but then it disappeared. It reappeared around 92 and continued until about 60. However, because of that first beat at 130, I would have retaken it just to be sure.
92/62, someone needs some fluids lol. Paramedic here: for EMS we’re taught to just send it to 200 because the pt may not know whether or not they have hypertension plus any ride in the boo boo bus will usually raise your BP lol
I was taught the same. Pt's emts treat typically won't know their BP. Nurses depending on where they work are more likely to have pt's with whom they'd regularly see and they be able to track it.
Yes always. U pump until you stop hearing beats. Then u know u have surpassed the systolic. But don’t go too high bc this could effect reading. Also make sure patient is sitting with feet touching ground. No limbs crossed and palm up for arm you are taking reading from.
That is exactly what I struggle with! My main struggle with taking BP manually literally is just placement of the bell/diaphragm and keeping still, that’s all. I always nudge something and think that’s the korotkoff, or I place the bell/diaphragm wrong and don’t hear anything.
I would also put a finger on the pulse, the beat would also be significantly stronger during and consistent throughout the range, which can help eliminate wild bump at 130
As a regular patient I really do not like the new machine blood pressure. Sometimes it feels like its going to cut my arm off. It is painful. I hate to think what it does to old people
Seriously. After I had my son, I had some complications and they had me hooked up to the automatic blood pressure reader thing for like 3 days straight, night and day. And every time it would take my BP, it was so painful.
You should teach the obliterate method before taking a BP so people know where to pump up to. It helps a lot to make sure the reading is more accurate 👍
@MizzBee13 where you hold the stethoscope on the artery, and pump until you don't hear a heart beat anymore through it. Take note of that number and pump up 20 past that when taking BP. It's different for each person so you know what number to pump to without hurting them too bad or not pumping up enough
90/60? See this is why I hate this 😂 all the different answers and everyone swears they’re right. So I know for a fact some of these patients blood pressures are wrong
@@ashleyblackmon3917 to calculate what a pedi systolic BP should be you use 70 + Age×2 = minimum systolic bp so and 11 year old shouldn't have a systolic lower than 92
I wish my blood pressure was this low. Geez. I'm dealing with hypertension now. 160/90 my nurse freaked out. I'm on amlodipine 10mg, 5'8, 260lbs, 40bmi. I'm damn near a vegetarian, drinking 64oz water daily, very low sodium diet, low fat, rainbow veggies, hibiscus tea, beet juice, taking magnesium supplement, eating walnuts, pistachios, spinach, Swiss chard and do Box breathing technique. I have a sleep apnea test in a couple of weeks. Let's see what that brings. But I'm thinking if getting the endoscopic balloon or the stomach Suture to assist in weight loss.
I also got 90/60. I've always wanted to be a nurse as well and I'm actually working on being a nurse right now. We practice vitals basically everyday. We practice on people in our class. I hope you achieve your dream of being a nurse! It's so worth it!
@@that_girl2005 Thank you so much! I hope you achieve yours as well! I hope you enjoy as much I think you're going to! Im wishing you all the blessings you can you handle!
I use to take my dads manually as the automatic ones varied widely. He would then try himself and hear nothing and say well I must be dead. He was hard of hearing.
In Nursing school you are taught some people have an ascultory gap. That first beat is where you start counting. If you want to be precise perform the occlusion test. Palpate the radial artery while inflating the BP cuff. When you no longer feel a pulse dedlate the cuff. Wait 2 minutes and take the Bp going 20mmhg over that last number. The reason you inflate 20 more is to catch an ascultory gap. 130/60 is normal for any healthy adult. A BP of 90/60 would have me more concerned unless the patient had known heart or kidney problems. Any lower than 90 and im going to start a bolus or call a rapid. Some hospitals will start interventions if systolic falls below 100. Depending on the patient's baseline. Charting a 90/60 will scare the care team. Especially if the nurse before correctly charted 130/60. That's a 40 point difference and i would personally call a rapid.
130/60 is not normal for any healthy adult. 120/80 is “normal” and a wide pulse pressure of 130/60 would likely have me questioning if this patient has a cardiac condition or is heading toward sepsis. I’d be watching them. Closely. Pulse pressure gap normally should be 40-60. Any more than that and you should be asking more questions and alerting someone.
@katies3201 you clearly don't work in Healthcare. No one would be concerned for 130/60 bp. 120/80 is ideal, but no one has that bp. One end of the spectrum, you have athletes or people who used to be with really healthy hearts, and they typically run bp's on the lower side. I'm talking 100/60 with HR in the 40s! Then you have unhealthy, sedentary, or just plain sick people with bps like 200/110. But no doctors or nurse will bat an eye for 130/60. Unless systolic goes above 180 or drops below 90, most doctors will say continue to monitor. Same with diastolic, if it drops below 60 or goes above 100, most will not be concerned. You always look at a patient's baseline and judge based on that. I know text books tout the 120/80, but that's very rare, bp. If you continually run a bp 140/90, that's considered your baseline, and no intervention would be required. Also, that's not in the least bit alarming. You have to discard book knowledge once you're in healthcare and use clinical judgment in every situation. Book knowledge guides us as the golden standard. But each individual has their own standard, which we call their baseline. Our goal is to return patient's to their baseline, not get them to the golden standards. This is across all healthcare professions and lab results. If a patient uses an assistive device and break their leg. Our goal is to get them ambulating using that device again. Our goal isn't to get the patient walking like a normal person. This is true for all vital signs and labs. COPD patients may have an O2 sat of 91% and respiration rate of 25. Both outside the normal value, BUT it's normal for that patient(baseline), and no Healthcare professional would be concerned. MAP is a better indicator than systolic/diastolic for bp. 130/60 is a MAP of 83, which is completely normal(70-100 is normal). You'll understand cardiac conditions more once you actually work in the field and not read it from a book. I had to toss a lot of things I learned in Nursing school myself. Real world vs ideal world.
92/58! I’d be a bit concerned if the vital machines are down especially the one in the video because it’s not just BP that is monitored! (Well in the UK that is the case anyway)
Omg. Thank you so much for this. I have a toddler who needs his blood pressure taken and sometimes we can only get an accurate reading on a manual machine. And his peds office can't do it. And I can't take him to the children's hospital every time he has a couple high seeming readings.
@@jazmineokoro001 it will always land on an even number whenever you’re using a manual BP cuff. The lines in between the numbers are 2, 4, 6 and 8… It was 130/62. Hope this helps ☺️
if you heard that you have an auscultatory gap which can result in reporting a blood pressure value much lower than it really is! Always take it by palpation first to establish where the systolic number truly is.
I never heard of an ausculatory gap until this video and it looks like people have learned different things on whether to record the first sound, or to record the sound once it is consistent, so I googled it. It looks like you record the first sound for systolic and last sound for diastolic and record if the gap was present. There are studies that show people with an ausculatory gap have false low systolic readings, so you need to record the first sound. If you aren't sure if it is an ausculatory gap or artifact, you recheck it.
In MA they taught us the book way. But from their experience they say just pump until 180 and go from there since most people don’t know what their bp is normally
Actually for me as a Nursing Student, we always use manual Bp or manual taking of the VS of patients. First beat is systolic and from what I’ve heard the systolic is 130 and the diastolic which is the last beat is 60. So for me it’s 130/60mmHg
but everyone else said it was a random (?) beat at 130 because it hasn't started beating normally at that point so the actual systolic is at 90? I'm confused
Our nursing school taught us about the auscultatory gap. It gives you a false systolic reading. You first heard it at 130 and it disappears then repicks up at 90 consistent and strong ending around 60 something. You want consistent sounds in a BP. I got 90/64.
You don’t usually see a BP with such a high systolic with such a low diastolic. In this case, you would use your judgment and retake in the other arm if there was confusion on the first beat of 130. Also, there wasn’t a a consistent beat after the 130. I got 92/62
AZ anurze Manger I truly resented when a nurse would tell me v.s are normal or remain the same. Please get up and take it manually on occassion. Manual BP tell more than than a number
90/62 is what I heard, sounds like a good case of hypotension, they need a iv bolus, or midodrine, or what ever the doctor orders depending on age history and symptoms 😊
Reading comments... I guess this obliterate method explains a lot. My mom was having suspected BP issues at the dentist, and went to the general Dr. They had that cuff on her so tight she was whimpering. Her BP was something like 150/96. The dentist was getting 170s or 180s (dentist stresses her out). I can't imagine how tight they must have had that on to go 30 above or wait until they couldn't hear it anymore
Erm... as a Deaf person, the thump I feel at 130 (yay for strong phone speakers!) is ...? Not a heartbeat? I see people discussing it, but how do you tell one thump from another, or what to ignore?
Not an actually a "nurse nurse," but I was a CNA for almost 30 years & had taken more vitals than I could shake a stick at....would be pretty bad if I got it wrong.
Haha. I learned but I’ve always been bad. So far I know you pump it as much as you can. Once you hear the start of the beat that’s the sbp and where it goes silent is the dbp. Then again I always got my numbers wrong with comping to the professer
Check for radial pulse while you're pumping up the cuff, when you no longer feel the pulse, add another 20mmhg of pressure, deflate cuff and reinflate cuff 20 mmhg over what was left felt
It’s 92/60, first single at 132 wasn’t it, it has to be continuous “bump.bump.bump” after systolic, there was no continuous pumping after 132, it tripped me up too
Hehe mine is sad. It can be like 80/50 and my bf's Nana is like, "girl you about to pass out." But that's just me. Idk what could be causing it. Maybe my low iron. I'm also a dancer which for some reason also gives me a resting heart rate of 45bpm and when I'm asleep it goes down to 30bpm. Blood sugar goes crazy, my body is just sensitive to sugar which means either hypoglycemia or diabetes, haven't been tested yet. Any ideas?
As a patient : The machine is so awful. It squeezes ten times harder than a manual read. And it never gets me on the first try. Like it usually takes at least three tries and my arms hurt SO bad by the end. I assume that they use these machines cause it’s faster but that can’t be it because by the time we are in our fourth read attempt you could have easily done that yourself. I thought it was maybe more accurate but I went to a new clinic who said they always do it manually because manual is more accurate. So like. What is even the point of those machines lol. Also the nurses who ask me intake questions during the machines reading then freak out when the BP is high. Like. Girl. Or boy. Please.
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90/64, when you hear the first sound around 130 and disappear then repick up at 90 it's called an auscultatory gap. Meaning it's diminished sounds when taking a systolic pressure. When taking a BP you want consistent flow of sounds at it's peak and end. Not a sound then it disappears = the auscultatory gap. This gap can give you false systolic readings.
Thanks for the info
Huh I didn't know that, thank you! Now I'm wondering how many false BPs I've read
125/70 is what I got from my bad hearing
Isn't that dangerous?
Hmm... I was taught to still use the first sound for systolic, even if the gap is present, and then note the duration of the gap in the documentation. 🤔
This is when I would just go ahead and retake it- cuz that random sbp beat at 130 has me messed up lol
Love this exercise!!
I'm so glad you said that because I noticed the same thing!
I thought it was just me.
I want you as my nurse!
Redoing a bp check is easy and quick but the result is critical.
Same lol
It could represent an ascultatroy pause or gap and the higher number is correct
step 1: pump until you don't hear any beating, keep your attention at the meter.
step 2: deflate tha cuff slowly until you hear the first beat, this number is your systolic
step 3: continue to deflate cuff until the last beat when the beating goes silent, this is your diastolic
Do it twice, the second measuring is the more accurate.
Thank you
When I first did this, i didn’t know what sound I was looking for. My teacher never explained it right, now I understand
@@kathidori8504don’t do it right away. You need to wait at least 5 minutes after and between pressures otherwise the numbers are skewed.
@@debbiefriesen3413 or a minimum of 3.5 minutes. Equally important is 3.5 to 5 minutes of patient/person sitting still, no talking or chewing gum, and with feet flat on the floor immediately prior to taking BP. If you decide on a second reading, using these same parameters is what can reduce the 5 minutes to a 3.5 before restarting.
92/62 is what I would've documented.
Same!
You can be in the range of between 4, I got 90/62
Me too
Same lol yay ! When I first watched this video I had no clue I’m so glad I do now lol
96/66 been a nurse for over 20 years and have never stopped doing vitals manually
Totally agree!
@@Lyonesss101omg i would hate to do them manually!
Your answer is the closest to mine. I got 98/66. I heard the first beat at the first mark after 100. I'm just learning how to do it manually
I look again it's correct, I'm practicing manual BP 🙂
I heard the first beat at around 130 but then it disappeared. It reappeared around 92 and continued until about 60. However, because of that first beat at 130, I would have retaken it just to be sure.
Yeah just started today so hearing the random beats at the highest is confusing me.
92/62, someone needs some fluids lol. Paramedic here: for EMS we’re taught to just send it to 200 because the pt may not know whether or not they have hypertension plus any ride in the boo boo bus will usually raise your BP lol
88/66. But I agree that random one at 130 threw me at first.
So why doesn't that random one count?
In emt school we were told to pump it until you stop hearing the beat, since you or the pt won't always know their normal BP lol
I’m in an emt class rn and we’re told to go 30 after, so it’s p consistent on my end. Might just be CA vs. national too though
@@anthonytran8670 that is what NREMT says but I know every instructor has their own professional opinion on what works best
I was taught the same. Pt's emts treat typically won't know their BP. Nurses depending on where they work are more likely to have pt's with whom they'd regularly see and they be able to track it.
Yes always. U pump until you stop hearing beats. Then u know u have surpassed the systolic. But don’t go too high bc this could effect reading. Also make sure patient is sitting with feet touching ground. No limbs crossed and palm up for arm you are taking reading from.
Also watch cuff size. This can affect bp reading as well. Always use the proper size cuff for your patients
I needed this right now. I'm taking my CNA skills exam in 24 hours and this is exactly the kind of exercise I need to be doing.
How'd it go?
You passed the exam! congratulations
sphygmomanometer
@@BridgetMcdaidhow do u know they passed? Her watching utube instead of studying worried me. Lol
😂,,, nothing wrong in relaxing abit to ease tension@@JessDougie-ro2hl
90/60 but I did hear the first sound at 130 but I didn’t continue so maybe I would do it again just to double check but I think 90 /60
The patient is alive
😂😂😂😂
That's what I got, too!
LOL
92/62 but girl you were making too much noise 😂😂😂 I heard the first sound on 130 but I think that was just a bump
The first beat you hear is your number systolic number and the last beat you hear is your diastolic number.
That is exactly what I struggle with! My main struggle with taking BP manually literally is just placement of the bell/diaphragm and keeping still, that’s all. I always nudge something and think that’s the korotkoff, or I place the bell/diaphragm wrong and don’t hear anything.
I would also put a finger on the pulse, the beat would also be significantly stronger during and consistent throughout the range, which can help eliminate wild bump at 130
That's what I was thinking. I take manual BP so all these 90/60 results were throwing me off
The first beat is not the systolic, there will follow a gap, and the first beat after this gap is your systolic. That is how I was trained.
As a regular patient I really do not like the new machine blood pressure. Sometimes it feels like its going to cut my arm off. It is painful. I hate to think what it does to old people
Seriously. After I had my son, I had some complications and they had me hooked up to the automatic blood pressure reader thing for like 3 days straight, night and day. And every time it would take my BP, it was so painful.
@@shannonrickard8605 I hope you and your son are doing great now.
Omg thank you soo much I can’t believe I just learned this from RUclips 😮 .👏👏👏👏👏👏👏 thank you!!!!!!
You should teach the obliterate method before taking a BP so people know where to pump up to. It helps a lot to make sure the reading is more accurate 👍
Please tell me it's not as scary as it sounds 😅 I don't wanna be obliterated
What is the obliterate method?
@MizzBee13 where you hold the stethoscope on the artery, and pump until you don't hear a heart beat anymore through it. Take note of that number and pump up 20 past that when taking BP. It's different for each person so you know what number to pump to without hurting them too bad or not pumping up enough
@@hobbythat5285😅
@@hobbythat5285no mam
My mom worked as nurse & she taught me how to take bp manually. I'm not a nurse, but this really help me.
I'm a nurse student. And the problem is not having a quiet place to listening carefully. There's always people talking load in the backgrounds
We had to learn that as a student-nurse...always needed it
Yea that first one around 130-140 threw me off but it doesn't stay consistent until 90ish
First beat is systolic 130/60
That’s what I got
I got the same,… but idk if it’s right
Agree
The sound at 130 was artifact not a beat
That was just artifact at 130
90/60? See this is why I hate this 😂 all the different answers and everyone swears they’re right. So I know for a fact some of these patients blood pressures are wrong
So, does the single beat at ~130 count or not?
No it doesn’t. You need continuous beat.
What if they’re a fib?
You do not need continuous beat according to many official medical sources. None of the publications, resources, or books state continuous beat.
Using this method, the first beat is not the systolic, there will follow a gap, and the first beat after this gap is your systolic.
I got 135/70. Let me say that I love love love that you did this! It's awesome.
You can’t get an odd number on this kind of cuff.
Please let me know the correct answer. Thanks
BP 92/62 ??
I got 92/60
That's normal if you're 11 years old lol
How?
@@ashleyblackmon3917 to calculate what a pedi systolic BP should be you use 70 + Age×2 = minimum systolic bp so and 11 year old shouldn't have a systolic lower than 92
@@jakesilliman5906 Not necessarily, I had a BP of systolic around 90-100 up until I got a job as a nurse. Now it is 20-50 points above that 🥸
I wish my blood pressure was this low. Geez. I'm dealing with hypertension now. 160/90 my nurse freaked out. I'm on amlodipine 10mg, 5'8, 260lbs, 40bmi. I'm damn near a vegetarian, drinking 64oz water daily, very low sodium diet, low fat, rainbow veggies, hibiscus tea, beet juice, taking magnesium supplement, eating walnuts, pistachios, spinach, Swiss chard and do Box breathing technique. I have a sleep apnea test in a couple of weeks. Let's see what that brings. But I'm thinking if getting the endoscopic balloon or the stomach Suture to assist in weight loss.
I got 90/60. I didn't start hearing a consistent beat until 90. Am I correct? I wanna be a nurse so bad. This was a great practice 🤌☺️
Go for it mamas . You’ll be glad you did .
I also got 90/60. I've always wanted to be a nurse as well and I'm actually working on being a nurse right now. We practice vitals basically everyday. We practice on people in our class. I hope you achieve your dream of being a nurse! It's so worth it!
@@that_girl2005 Thank you so much! I hope you achieve yours as well! I hope you enjoy as much I think you're going to! Im wishing you all the blessings you can you handle!
130/60 .. first beat is what you go with
I got the same
Bp is 90/60
I got the same thing but for some reason ppl are leaving mean comments under mine. Lol I'm glad I wasn't the only one that got this answer
I got 92/60. 😊
92/64 🫢
Systolic around 130ish plus u should be pumping tbat thing between 160 and 180 closer to 180 on adult
I did this and my evaluator failed me 3 times. I also took a refresher class.
I use to take my dads manually as the automatic ones varied widely. He would then try himself and hear nothing and say well I must be dead. He was hard of hearing.
As a CNA who worked in SNFs and only took manual BPs, I wouldn't accept this. I would take it again.
I miss ICU bedside nursing, Im terminally now in my 30's. Watching and making videos like this is keeping me alive (no pun intended lol)
If you dont have a steth you can warch the gauge closely it starts bouncimg at systolic and stops at diastolic
In Nursing school you are taught some people have an ascultory gap. That first beat is where you start counting. If you want to be precise perform the occlusion test. Palpate the radial artery while inflating the BP cuff. When you no longer feel a pulse dedlate the cuff. Wait 2 minutes and take the Bp going 20mmhg over that last number. The reason you inflate 20 more is to catch an ascultory gap. 130/60 is normal for any healthy adult. A BP of 90/60 would have me more concerned unless the patient had known heart or kidney problems. Any lower than 90 and im going to start a bolus or call a rapid. Some hospitals will start interventions if systolic falls below 100. Depending on the patient's baseline. Charting a 90/60 will scare the care team. Especially if the nurse before correctly charted 130/60. That's a 40 point difference and i would personally call a rapid.
130/60 is not normal for any healthy adult. 120/80 is “normal” and a wide pulse pressure of 130/60 would likely have me questioning if this patient has a cardiac condition or is heading toward sepsis. I’d be watching them. Closely. Pulse pressure gap normally should be 40-60. Any more than that and you should be asking more questions and alerting someone.
@katies3201 you clearly don't work in Healthcare. No one would be concerned for 130/60 bp. 120/80 is ideal, but no one has that bp. One end of the spectrum, you have athletes or people who used to be with really healthy hearts, and they typically run bp's on the lower side. I'm talking 100/60 with HR in the 40s! Then you have unhealthy, sedentary, or just plain sick people with bps like 200/110. But no doctors or nurse will bat an eye for 130/60. Unless systolic goes above 180 or drops below 90, most doctors will say continue to monitor. Same with diastolic, if it drops below 60 or goes above 100, most will not be concerned. You always look at a patient's baseline and judge based on that. I know text books tout the 120/80, but that's very rare, bp. If you continually run a bp 140/90, that's considered your baseline, and no intervention would be required. Also, that's not in the least bit alarming. You have to discard book knowledge once you're in healthcare and use clinical judgment in every situation. Book knowledge guides us as the golden standard. But each individual has their own standard, which we call their baseline. Our goal is to return patient's to their baseline, not get them to the golden standards. This is across all healthcare professions and lab results. If a patient uses an assistive device and break their leg. Our goal is to get them ambulating using that device again. Our goal isn't to get the patient walking like a normal person. This is true for all vital signs and labs. COPD patients may have an O2 sat of 91% and respiration rate of 25. Both outside the normal value, BUT it's normal for that patient(baseline), and no Healthcare professional would be concerned. MAP is a better indicator than systolic/diastolic for bp. 130/60 is a MAP of 83, which is completely normal(70-100 is normal). You'll understand cardiac conditions more once you actually work in the field and not read it from a book. I had to toss a lot of things I learned in Nursing school myself. Real world vs ideal world.
That’s around what I normally run at for blood pressure 😅 mine is normally around 90/60 😅
I’m just so proud of all of you for working so hard to take care of us people it’s absolutely incredible and grateful for you all 💕💕💕👊
92/58! I’d be a bit concerned if the vital machines are down especially the one in the video because it’s not just BP that is monitored! (Well in the UK that is the case anyway)
Interesting. I never knew how they figured out your BP from that. I just cry internally until I can feel my hand again
🤣🤣🤣😅😅
134/135 is the first beat after silence and 60 is the last beat before silence. 134/135 over 60
Oh god don’t trust anyone to take a accurate bp according to these comments 😂
Omg. Thank you so much for this. I have a toddler who needs his blood pressure taken and sometimes we can only get an accurate reading on a manual machine. And his peds office can't do it. And I can't take him to the children's hospital every time he has a couple high seeming readings.
Systolic is 130, then silent gap, wich is quite common. Diastolic 62.
62???? are you some machine lmao
@@Lurkzor oops, ment 60, see it now
I got 130/65 the first time I watched it and 125/65 and then I saw comments saying 90/60 now I’m thinking I did something wrong 😅
No, you were correct lol it was 130/62
@@jazmineokoro001 it will always land on an even number whenever you’re using a manual BP cuff. The lines in between the numbers are 2, 4, 6 and 8… It was 130/62. Hope this helps ☺️
if you heard that you have an auscultatory gap which can result in reporting a blood pressure value much lower than it really is! Always take it by palpation first to establish where the systolic number truly is.
I never heard of an ausculatory gap until this video and it looks like people have learned different things on whether to record the first sound, or to record the sound once it is consistent, so I googled it. It looks like you record the first sound for systolic and last sound for diastolic and record if the gap was present. There are studies that show people with an ausculatory gap have false low systolic readings, so you need to record the first sound. If you aren't sure if it is an ausculatory gap or artifact, you recheck it.
In MA they taught us the book way. But from their experience they say just pump until 180 and go from there since most people don’t know what their bp is normally
Actually for me as a Nursing Student, we always use manual Bp or manual taking of the VS of patients. First beat is systolic and from what I’ve heard the systolic is 130 and the diastolic which is the last beat is 60. So for me it’s 130/60mmHg
Same I graduated December 2021 and I would have said 130/62
but everyone else said it was a random (?) beat at 130 because it hasn't started beating normally at that point so the actual systolic is at 90? I'm confused
@@sherine9033 it's at 90 because it was only 1 beat and not consistent, wich. is what you are looking for.
Our nursing school taught us about the auscultatory gap. It gives you a false systolic reading. You first heard it at 130 and it disappears then repicks up at 90 consistent and strong ending around 60 something. You want consistent sounds in a BP. I got 90/64.
You don’t usually see a BP with such a high systolic with such a low diastolic. In this case, you would use your judgment and retake in the other arm if there was confusion on the first beat of 130. Also, there wasn’t a a consistent beat after the 130. I got 92/62
The patient needs a drink of water.
90/65 was my listen. I was only a phlebotomist but had to learn this 20 years ago. Still a great accurate reading.
AZ anurze Manger I truly resented when a nurse would tell me v.s are normal or remain the same. Please get up and take it manually on occassion. Manual BP tell more than than a number
I got 96/62 but that first sound about 130 still throws me off at times 😂 guess I still need lots more practice!
Old school-
Pump to 200, release, listen for first and last beats.
96/66?
..can anyone recommend a video or book to deeply learn about the details and auscultatory gap
You should try taking BP’s in a moving ambulance! 😂
In India docs believe on readings from manual clinical mercury manometers, some have Aneroid ones too.
90/62 is what I heard, sounds like a good case of hypotension, they need a iv bolus, or midodrine, or what ever the doctor orders depending on age history and symptoms 😊
I heard this too. Good catch!
Not necessarily, my BP is 9/6 on a daily basis
@@thesalazar7328 This is true if this is a part of your normal history.
Does it matter that the needle moves with the beat?
😐😐y'all I legit was like 100/60 damn I need to work on my vitals ig
Same here actually
Wow that's impressive!!!!!
I know we have a window for error so 132/60
Reading comments... I guess this obliterate method explains a lot. My mom was having suspected BP issues at the dentist, and went to the general Dr. They had that cuff on her so tight she was whimpering. Her BP was something like 150/96. The dentist was getting 170s or 180s (dentist stresses her out). I can't imagine how tight they must have had that on to go 30 above or wait until they couldn't hear it anymore
I think it's 130/60, I actually learned to read BP manually when I was 15 on our Science class.
Omg no way at 15? that’s so young. You must be a doctor by now, great job!
@@elijahsmith5683 nooo I'm not suitable for medical courses due to my hemaphobia, I am still on college student as an accounting student 😭😭
@@YoonAReMYlight either way, you got this!
Yes, this is exactly what I got
It’s 130/62
I would retake the BP to be honest.
130/70mmHg
I agree with this but I am not sure
Finally right answer
Yes, that’s what I think too.
You're putting the stethoscope in wrong
130/60.
Lmao a 90 systolic would throw anyone off.
92/60
Erm... as a Deaf person, the thump I feel at 130 (yay for strong phone speakers!) is ...? Not a heartbeat? I see people discussing it, but how do you tell one thump from another, or what to ignore?
130/60-70mmhg
89/60 but it’s really not possible to do it correctly this way. Practice practice practice :-)
92/62
Not an actually a "nurse nurse," but I was a CNA for almost 30 years & had taken more vitals than I could shake a stick at....would be pretty bad if I got it wrong.
Haha. I learned but I’ve always been bad. So far I know you pump it as much as you can. Once you hear the start of the beat that’s the sbp and where it goes silent is the dbp. Then again I always got my numbers wrong with comping to the professer
128/98
I got about 94/62.
More stuff like this please! This was great thank you
I learnt this when I was 7 dads a doctor and I use to find it interesting to learn such things turns out I am afraid of blood became an IT engineer
My nursing professor says that with manual BP it cannot be an odd number
Check for radial pulse while you're pumping up the cuff, when you no longer feel the pulse, add another 20mmhg of pressure, deflate cuff and reinflate cuff 20 mmhg over what was left felt
*30mmhg
I've done several over palpate
Me: being a lil fat
Doctors: PUMP THAT SHID TO THE MAX!
just for me to end up with my usual 100/60, all that blood under my skin for nothing 🥲
I use to do manual BPs all the time,I trust them more.
I trust automatic more
140/50 is that right my fucking god I could never hear the systolic ahhhh
90/60 🎉🎉🎉
90/60...also look for the needle jump for the systolic
What's the answer op?
94/56 someone is either in great shape/athlete or they may need fluids.
132/60!
It’s 92/60, first single at 132 wasn’t it, it has to be continuous “bump.bump.bump” after systolic, there was no continuous pumping after 132, it tripped me up too
93/62
...do you guys not estimate systolic first???
130/62
Got the same BP.
I thought it was 130 that noise messed my up is it 90/60
130/70
Hehe mine is sad. It can be like 80/50 and my bf's Nana is like, "girl you about to pass out." But that's just me. Idk what could be causing it. Maybe my low iron. I'm also a dancer which for some reason also gives me a resting heart rate of 45bpm and when I'm asleep it goes down to 30bpm. Blood sugar goes crazy, my body is just sensitive to sugar which means either hypoglycemia or diabetes, haven't been tested yet.
Any ideas?
98/62 Please confirm Thank you! 😅
exactly what i got
Me too
Same
Yup i heard same. 98/62.
I got 96/66
I should ask my mom to teach me how to do this lmao.
92/58
As a patient : The machine is so awful. It squeezes ten times harder than a manual read. And it never gets me on the first try. Like it usually takes at least three tries and my arms hurt SO bad by the end. I assume that they use these machines cause it’s faster but that can’t be it because by the time we are in our fourth read attempt you could have easily done that yourself. I thought it was maybe more accurate but I went to a new clinic who said they always do it manually because manual is more accurate. So like. What is even the point of those machines lol.
Also the nurses who ask me intake questions during the machines reading then freak out when the BP is high. Like. Girl. Or boy. Please.
I heard 90/62 but I'd probably recheck that one
That's what we got:)
90/60 mmHg. Korotkoff sounds
90/60