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A blood pressure monitor is a medical device used to measure blood pressure, consisting of an inflatable bracelet to reduce blood flow, a mechanical mercury pressure gauge, a blower, and a control valve.
Manual sphygmomanometers are used in conjunction with a stethoscope.
A blood pressure monitor Style
- The bracelet sits smoothly and comfortably around the arm, at roughly the same vertical height as the heart, while the person sits with their arm relaxed and supported.
- It is necessary to choose the right size of the bracelet for the patient.
- A very small size gives very high results in compression, while a very large size gives very low results.
- The bracelet is inflated until the artery is completely closed, the arm artery is heard at the elbow joint by the stethoscope, then the pressure is slowly relieved.
- As soon as the pressure in the bracelet drops, intermittent sounds are heard ==(Krotkov sounds)== when blood flow begins again in the artery.
- The recorded pressure when this sound starts is systolic pressure,The pressure recorded when sounds disappear is diastolic pressure.
Types of sphygmomanometers :
- Digital with manual or automatic blower These are electronic, easy to operate, and practical in noisy environments.
- But many of them are not verified for all patient groups and can give very inaccurate readings.
- These types measure the main pressure and then using oscillometry determine the systolic and diastolic pressure values.
- And here we know that it doesn’t actually measure blood pressure, but rather derives readings.
- Portable digital with finger pressure gauge and automatic blower: This type is the lightest and easiest, and although less accurate it is the smallest in size.
- Manual: Used by trained person, Requires handset
- Mercury scales are considered the “golden rule” of measurement because their measurement is absolute and does not require recalibration
- which is why they are often required in clinical trials of pharmaceuticals and for clinical evaluations to determine blood pressure for patients with a high risk ratio including pregnant women.
- Mechanical non-liquid types are commonly used, but they should be calibrated against a mercury sphygmomanometer.
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