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. 🤔

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

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.

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

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’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

So why doesn't that random one count?

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

😂😂😂😂

That's what I got, too!

LOL

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

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

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

*30mmhg

I've done several over palpate

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 🫢

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

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.

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.

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

I agree with this but I am not sure

Finally right answer

Yes, that’s what I think too.

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 ☺️

🤣🤣🤣😅😅

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.

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.

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 🥸

Got the same BP.

You’re actually partly correct. The cuff is provide just enough pressure on the arterial walls to restrict blood flow to the areas below the cuff. Blood pressure measures the work of your heart. So essentially we restrict the artery to see at what pressure can your heart forcefully get blood to your arm. And the second number is when the pressure is reduced enough so that the heart doesn’t have to force the blood anymore. And sometimes our heart can get out more force but needs more time before the next “beat” to get through to the arm

Could be a-fib. Pause like that would be totally normal in that case.

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

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

You can’t get an odd number on this kind of cuff.

Please let me know the correct answer. Thanks

128/98

That's what we got:)

Same here actually

I was a nurses aide before certification was mandatory (OJT). I believed for many years that “I couldn’t be a nurse because of the math.” Guess what - I did it & then some - so can you!! NA, CNA, LPN, RN, BSN & Masters bound… if I can do it, anyone who wants to can. You can do it. Don’t let ANYONE (even yourself) keep you from your goals & dreams! Best wishes!

I can't even add double digits together and I'm a nurse 🤣 that's why you have calculators girl

@@nutella4220 but what about vitals? I can't read vitals yo 😅😅 love it though you guys are awesome thanks for the support:)

There's no math in recording a BP though.

@@jennakhivkapratt8751 there is but it's not "hard " math for most people, but since I have dyscalcula it's hard for me, like with vitals you have to count and rememeber numbers while you are counting, so hard 😅 When I took first aide I couldn't do it and almost failed because of that 🙃 maybe my other skills can make for up for this serious lack of one

exactly what i got

Me too

Same

Yup i heard same. 98/62.

I got 96/66

I trust automatic more