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    Blood Pressure - Lab-Falcon

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    Sebastián Pérez
    This document summarizes an experiment measuring blood pressure using various methods. Systolic pressure was estimated using palpation for one volunteer. Blood pressure was then measured using a stethoscope and recorded for multiple volunteers and attempts. Additional methods measured included using a finger pulse to estimate systolic pressure when the arm was raised, recording blood pressure and pulse using a cardio microphone, and measuring leg blood pressure while accounting for hydrostatic pressure differences. Key findings included higher systolic pressures when measuring at heart level compared to above the head, and the need to correct for hydrostatic pressure when measuring blood pressure in the legs.

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    © All Rights Reserved
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    Blood Pressure - Lab-Falcon

    Uploaded by

    Sebastián Pérez
    45 views9 pages
    This document summarizes an experiment measuring blood pressure using various methods. Systolic pressure was estimated using palpation for one volunteer. Blood pressure was then measured using a stethoscope and recorded for multiple volunteers and attempts. Additional methods measured included using a finger pulse to estimate systolic pressure when the arm was raised, recording blood pressure and pulse using a cardio microphone, and measuring leg blood pressure while accounting for hydrostatic pressure differences. Key findings included higher systolic pressures when measuring at heart level compared to above the head, and the need to correct for hydrostatic pressure when measuring blood pressure in the legs.

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    Blood Pressure – Lab-Falcon

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    This document summarizes an experiment measuring blood pressure using various methods. Systolic pressure was estimated using palpation for one volunteer. Blood pressure was then measured using a stethoscope and recorded for multiple volunteers and attempts. Additional methods measured included using a finger pulse to estimate systolic pressure when the arm was raised, recording blood pressure and pulse using a cardio microphone, and measuring leg blood pressure while accounting for hydrostatic pressure differences. Key findings included higher systolic pressures when measuring at heart level compared to above the head, and the need to correct for hydrostatic pressure when measuring blood pressure in the legs.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    45 views9 pages

    Blood Pressure - Lab-Falcon

    Uploaded by

    Sebastián Pérez
    This document summarizes an experiment measuring blood pressure using various methods. Systolic pressure was estimated using palpation for one volunteer. Blood pressure was then measured using a stethoscope and recorded for multiple volunteers and attempts. Additional methods measured included using a finger pulse to estimate systolic pressure when the arm was raised, recording blood pressure and pulse using a cardio microphone, and measuring leg blood pressure while accounting for hydrostatic pressure differences. Key findings included higher systolic pressures when measuring at heart level compared to above the head, and the need to correct for hydrostatic pressure when measuring blood pressure in the legs.

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    © All Rights Reserved
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    of 9

    Informe

    Lección Blood Pressure – Lab

    Auscultation – Activity

    Estimated systolic blood pressure using palpation

    Volunteer's Name Systolic Pressure (mmHg)

    Mayte 108

    Blood pressure using stethoscope method

    Volunteer's Attempt Systolic Pressure Diastolic Pressure


    Name (mmHg) (mmHg)

    What are some possible sources of error or variation in this technique of blood pressure measurement?

    Is the following statement true or false?

    Clinically, two careful measurements of blood pressure with a one-minute interval are recommended. A repeat
    measurement should be taken when there is any uncertainty.

    True

    False

    Blood pressure and finger pulse – Activity


    160 Blood Pressure (mmHg)

    140

    120

    100

    80
    0.15 Finger Pulse (mV)
    0.1
    0.05
    0
    -0.05
    -0.1
    -0.15
    0.3 Finger Pulse Amplitude (mV)
    0.25
    0.2
    0.15
    0.1
    Tiempo
    0.05
    0
    10 12 14 16 18 20

    Blood pressure and finger pulse – Analysis

    Pulse Detection Method Estimated Systolic Pressure (mmHg)

    Arm at heart level 146

    Arm above head 104.7

    From your finger pulse recording, is there any way to determine diastolic pressure? Could a finger pulse measurement
    ever replace the stethoscope in determining diastolic pressure?

    What happened to the finger pulse amplitude when the arm is held above the head? What happened to the estimated
    systolic pressure? What do you think could account for this observation?
    Cardio microphone – Challenge

    The Korotkoff sounds will appear as spikes on the Cardio Microphone channel, as shown in the image below (orange
    signal). The upper channel (dark blue signal) shows the corresponding pressure in the cuff as it is deflated.

    Label the diagram below with the appropriate terms.

    Auscultatory gap

    Diastolic pressure
    Diastolic pressure
    Systolic pressure

    Systolic pressure

    Auscultatory gap

    Cardio microphone – Activity


    160 Blood Pressure (mmHg)

    140

    120

    100

    80

    0.4 Cardio Microphone (mV)

    0.2

    -0.2

    -0.4

    -0.6

    15 20 25 30 35 40

    Cardio microphone – Analysis

    Using the cardio microphone to determine systolic and diastolic pressure:

    Rate of pressure change Systolic Pressure (mmHg) Diastolic Pressure (mmHg)

    Slow 124 81.9

    Medium

    Fast

    What is the basis for the sounds referred to as Korotkoff sounds?

    Laminar blood flow

    Maximal blood flow

    Turbulent blood flow

    How did deflating the cuff more quickly alter your blood pressure measurements? Can you explain why?
    Cuff size – Activity

    Blood Pressure

    Cardio Microphone

    Cuff size – Analysis

    Effect of cuff size on measured blood pressure

    Cuff Size Systolic Pressure Diastolic Pressure


    (mmHg) (mmHg)

    Infant

    Child

    Adult

    Leg

    What can you conclude about the effect of cuff size on measured blood pressure? How can you explain this?

    Arm position – Challenge


    Select Annotate and draw an arrow below each figure to show how the measured blood pressure at the elbow will
    differ with the arm in the different positions shown. Hint: the pressure in a column of fluid depends on height.

    Arm position – Activity

    80
    160 Blood Pressure (mmHg)
    140
    120
    100
    80
    60
    40
    20
    0
    100
    20 Cardio Microphone (mV)
    80
    60
    40
    20
    0
    -20
    -40
    -60
    -80
    -100
    -120
    1:40 1:45 1:50 1:55 2:00 2:05

    Arm position – Analysis


    Effects of arm position on blood pressure

    Enter "not detectable" where you cannot make a reading.

    Measurement Site Position Systolic Pressure (mmHg) Diastolic Pressure (mmHg)

    Elbow Arm at heart level 112 79.1

    Elbow Arm hanging loosely by side 110 60.7

    Elbow Arm at head level 124 72.9

    Given the variation in pressure with height, blood pressure is normally referenced to heart level. Does this usually
    affect the pressure recorded from the upper arm?

    You may have experienced difficulty in obtaining a blood pressure measurement when the arm was held above the
    head. Can you give a physiological explanation for this? Tip: Why do you think you experience fatigue when holding
    something above your head?

    Leg blood pressure – Activity

    Blood Pressure

    Cardio Microphone
    Height difference from heart to blood pressure cuff

    Cuff Position Cuff-to-Heart Height Difference (cm)

    Thigh

    Calf

    Leg blood pressure – Analysis

    Height difference from heart to blood pressure cuff.

    Position Thigh Lying Thigh Standing Calf Lying Calf Standing

    Cuff-to-heart height difference (cm) 0 0

    Systolic pressure (mmHg)

    Diastolic pressure (mmHg)

    Extra hydrostatic pressure (mmHg) 0 0

    Corrected systolic pressure (mmHg)

    Corrected diastolic pressure (mmHg)

    How did the blood pressure in the leg compare with that in the volunteer's arm? Explain your observations. From
    these findings, what is the correct posture to measure blood pressure in any artery in the lower limb?

    How do your corrected standing leg blood pressures compare with your lying leg blood pressures? When might this
    method be useful for blood pressure estimation?

    Ventana emergente - Notebook


    Reflection notebook:

    Ventana emergente - Hydrostatic pressure (table)

    Enter the height difference from heart level in centimeters into the table:

    Height Difference from Heart Level (cm) Hydrostatic Pressure (mmHg)

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