Vimiruvannya arterial vise: algorithm for arterial vise, technology and rules for vimiruvannya arterial vise. Vimіryuvannya arterial vise on an outpatient clinic, in stationary and in home minds: rules, problems and ways of їkh vishennya Ways to vimіuvannya arterial vise

Vimiryuvannya arterial vise(Sphigmomanometer)- the main method of diagnostics arterial hypertension.

The arterial grip can spontaneously change in wide gaps throughout the day, pressure, months.

Arterial hypertension is diagnosed on the basis of repeated arterial hypertension. If the arterial grip of the movements is insignificant, then the repetition needs to be continued by stretching out the decimals, which is more accurate than the significant arterial grip. From the side, which is the meaning of the movement of the arterial vise, the reduction of the organs of the targets, or the higher heart-vodinniy rizik Then, repeat the arterial vise with a stretch of decilkoh tension for days. As a rule, the diagnosis of arterial hypertension can be diagnosed at least in case of at least 2 or 3 visits at least two or three visits, if you want to be diagnosed in the first place.

• Mind the arterial vise (AT)
  • Vimiryuvannya is guilty of being carried out in a quiet comfortable environment at room temperature.
  • For 30-60 minutes before the date, it is necessary to switch on the implantation of the disease, to drink tonic drinks, coffee, alcohol, as well as physical nutrition.
  • AT will be able to write about the repair of the patient with a stretch of more than 5 chilines. As well as the procedures for overloading, it is physical or it is not possible to replace it, the period from the repair to the amount of up to 15-30 minutes.
  • AT vimіryuєtsya in the early hour of the day.
  • Legs should be on the floor, and hands should be bent and lie down on the edge of the heart.

• Method of arterial vise vimiruvannya (AT)
  • Start AT on the shoulder artery in the position of the patient, lying on the back or sitting in manual position.
  • The cuff is applied on the shoulder on the ryvn_ of the heart, the lower edge of the її is 2 cm in the eye of the lіktyovy zgina.
  • The cuff is guilty of such a size, 2/3 biceps curl. The puzir of the cuffs will be used to reach the end of the arm, if it will drain 80% of the hand, and the width of the micher is dormant, it will be 40% of the size of the hand. Also, if the arterial vise is to be carried out with a patient suffering from obesity, then it is necessary to wear a cuff of a large size.
  • Pislya tightening the cuffs, in a new vise press up to the value of an ochikuvanny systolic vise.
  • Let the vise step by step lower (3 mm Hg / sec), and behind the aid of the phonendoscope, drown the heart over the shoulder artery of the hand.
  • Do not press down on the artery with the phonendoscope membrane.
  • That grip, when the first tone of the heart is heard, є systolic AT.
  • The vice, when the heart is drowning, is no longer obscure, is called a diastolic AT.
  • The same principles are used to cure in the presence of AT in front of the stage (toni when lucid in the exchange artery) and stegni (toni in lucid in the middle artery).
  • Vimіryuvannya arterial vise is carried out three, with an interval of 1-3 minutes., On both hands.
  • As soon as the first two changes in AT, the difference between themselves is no more than 5 mm Hg. Art., vimіryuvannya slіd pinch and for the level of arterial grip the average value of cich values ​​is taken.
  • Yaksho є spreading more than 5 mm Hg. Art., to be held the third vimir, in order to compete with the other, and then (if necessary) vikonut and quarters vimir.
  • As soon as you drown even weak, then you raise your hand and the viconati grips the ruff with a penzel, then you repeat it.
  • In ailments over 65 years old, with the presence of red dmabet and antihypertensive therapy should be taken off, and AT after 2 chilini transferred in a standing position.
  • We are sick with a forehead pathology (for example, with atherosclerosis of arteries lower kintzivok) Shown is the value of the arterial vise on both upper and lower edges. For the whole AT, it is not only on the shoulders, but on stegovy arteries in the position of the patient on his stomach (the artery hangs in the pits).
  • Sphigmomanometry, which reveals mercury, is more accurate, automatic devices for the reduction of arterial vise in a large amount of less accurate.
  • Mechanical attachments are periodically calibrated.

• best parts of the pardon, Scho to produce an arterial vise to the wrong vim_ryuvannya
  • Incorrect position of the patient's hand.
  • Vikoristannya of the cuff, which does not cause the humeral movement when the arms are turned (the gum inflated part of the cuff is guilty of not less than 80% of the arm circumference).
  • Maliy hour of adaptation of the patient to the minds of the Likarsk office.
  • Visoka svidk_st reduced grip in the cuff.
  • The visibility of the arterial vise asymmetry control.

• Self-control of the patient's arterial vise

  On the basis of the patient's self-control of an arterial vise in the outpatient minds

  Self-control is allowedє:

  • Otrimate additional information about the reduction (pidyomas) of the arterial vise in the interval of the antihypertensive conditions.
  • Advantageousness of the patient lykuvannya.
  • Otrimate the averaging indicator for a few days, which is a bit of a day, which is a long time ago, there is a lot of evidence and prognostic value in relation to the "official" arterial grip.

  The mode and the triviality of self-control, the type of vicious attachment, can be adjusted individually.

  It means that the actions of the external attachments, which transfer the arterial grip on the wrist, have passed adequate validation.

  It is necessary to inform the sick, but the normal meaning of the arterial vise, which is in the minds of the young, is often seen as one of one.

  Cylyovi "normal" digits of the arterial vise.

  wash away vimiryuvannya	systolic AT	diastolic AT
  OFFICE ABO CLINICNE	140	90
  middle-like	125-135	80
  Denne	130-135	85
  nichne	120	70
  home	130-135	85

Arterial vise (AT) - the grip of blood on the walls of the arteries. Rise of the systolic AT (upper) - the maximum grip in the artery, which flares up like a blood clot at the moment of rapid heart (systole) and diastolic AT (lower), which appears to start at the time of the phase of the reversible myocardial relaxation).

Normal grip of people

In young individuals, there is a possibility of a normal arterial vise, which can fit within an interval from 100 \ 60 to 140 \ 90 mm Hg. It is averaged, or ideally, meaning the grip of the people, right from the stati and vik, to become 120 \ 80 mm Hg. The very same indicator appears in the majority of healthy people. Near a cordon it is not important, for something to be repairedarterial hypertension, - at івні 139 \ 89 mm Hg, arterial hypotonia - below 100 \ 60 mm Hg.

One can often feel about the so-called grip of adaptation, or an abrupt grip of the ideal AT. This term means such a level of arterial grip, with which a person sees himself optimally comfortable. Nawpaki, be-yaki vіdhilennya in that or on the other side of all zvichnyh meanings, supervise the pogershennya of self-esteem. The price can be stuck in the norm, as well as in the pathology. For example, in a physiological hypotonic with an AT 100 \ 60 (or 90 \ 60) mm Hg. p_advischennya vise up to 120 \ 80-130 \ 90 mm Hg supravodzhutsya symptomatology, due to hypertensive crisis. Zvorotna situation: bad weakness, unpalatable, not very dirty, bored and blued, inadvertently pacinti with AT 120 \ 80 mm Hg. when it falls to 110 \ 70-100 \ 60 mm Hg. All the winks, beastly respect, may not go beyond the normal meaning of the arterial grip.

In times hypertensive ailments(Arterial hypertension) in case of stabilization of the vice at a level of 140 \ 90 mm Hg. and the term "normal grip" is not valid. Itself for the whole of pathology, the vise of the "zvichny" or "adaptive" stagnates very often. Probably a simple butt. For a hypertension with experience, it is excellent self-esteem to be recognized at a blood pressure of 160/100, and when it comes to being supravulated by the appearance of vegetative and cerebral symptoms. The same value (160 \ 100) є for the patient is adaptable, or even specific. However, you cannot see yak normally. Stabilization of AT on high digits, to navigate with hardened sub-active portability, positively infuses into the robot internal organs, To lead to a shrewd "znoshuvanosti" organism, accelerated evolutionary processes, invalidization.

Tonometer - device for vimіryuvannya arterial vise

The device for non-invasive vimiruvannya arterial vise (AT) is called a tonometer. The wine is stored with an empty cuff, so that it can be inflated by the attendants for an additional gum pear and a pressure gauge with a scale value. The first tonometer, we will win the Brazilian vcheny Riva-Rochchi, buv mercury. With quiet a single vimіryuvannya arterial vise є milimetry of the mercury stop (mm Hg). In the Danish hour, mechanical and electronic tonometry is victorious. I am most popular in the use of electronic tonometry, as it is the most simple in storage. Obmezhennyam for vicoristannya electronic tonometer inodi є porushennya heart rhythm in a patient (arrhythmia), as a result of which the device may incorrectly start the pulse tone, as a result of the appearance of the wrong value of AT.

Rules for the implementation of an arterial vise (AT)

One year before the procedure, one should drink kawi, cocoa, chicken, alcohol. Trimming down the amount of medication taken, so that the arterial grip, including from the internal and nasal drops and sprays, is reduced. There are physical options available. Vimіryuvannya vise is carried out in a calm environment, when you have a 5-hour calmness and not earlier, not after 2 years, or after 2 years. In the presence of a multitude of patients, it is easy to roztashovuyutsya on the style or in the crust, with lowered, but not crossed legs. The hand is placed on the steel in such a rank, the shoulder appears approximately on the edge of the heart. The cuff of the tonometer is hunkered down on the shoulder, a little not tight, and so there was a possibility of passing the finger between the cuff of the shoulder and the cuff, the lower edge of which may be at its own 2.5-3.0 cm in the middle of the hole.

Before the hour of vimiruvannya vise, the hand is loosening, it is not recommended to rotate it. Indicators of arterial grip can be seen on the right and left ruts. As a rule, on the right hand, there can be a lot of things. As soon as the arterial grip on the hands is squeezed, it is possible to carry out the vimiryuvannya on a random hand. In іnshomu vypadku, start vimіryuut there, de grip vyavivshis vishche. For a more accurate measurement of indicators, the arterial grip changes three (especially with arrhythmias) with an interval of five chilines. When you find a value.

For regular control of AT digits, carry out a check of two or three for a day, for a request the doctors , at one and the same hour. If you want to spend the skin for 3 years and then do it - profile AT. Record indicators in a zosit or a notebook.

Vimiruvannya arterial vise (AT) for the Korotkov method

The best and most accurate method of recommendations for practical sucking All-Holy Organization of Health Protection. Korotkov's method of auscultation on an auscultatory (behind the aid of a stethoscope) visualization of an arterial vise. Put the tonometer cuff on the shoulder. In the lithovo hole (closer to internal parties) Fit and lightly squeeze the membrane of the stethoscope with your fingers. right hand take the pear of the tonometer, overturn the retouching of the hand valve. Squeeze the pear to finish quickly and swell the cuffs up to the value on the tonometer scale; With a small amount of water (2-3 mm / s), bleed the wind, the valve is turned on. The first sensitive tone (blow, post) in a stethoscope is an indicator of an upper, systolic vice, a weakening or an outwardly weakening tone - a lower, distal vice. If the first tone of fixation is 120 mm Hg, and the rest is 80 mm Hg, then the level of your arterial vise will be recorded as 120 \ 80 mm Hg.

• Lyudin, as a visitor to the arterial grip, as a rule, I myself will clearly see the first shipment in the area of ​​overwhelming arteries and the moment of repetition of the pockets. The goal is to provide accurate indicators of systolic and diastolic arterial vise. In such a rank, it is possible to use a mechanical tonometer without a stethoscope by the patient himself
  

• Normal average value of AT in the period of non-sleep becomes 135/85 mm Hg. Art., during sleep - 120/70 mm Hg. Art.
  

• The exact numbers of the arterial vise, with a non-invasive method, behind the auxiliary cuff, lie in the geometry of the shoulder. Vona is guilty buty is close to cylindrical. In obese patients, the shape of the shoulder is not very close to the cone, so it will not make the grip in the whole area. The way out can become an arterial grip on the front

Systolic and diastolic AT, in CLINIC PRACTICE the value of the average and pulse vise:

The middle vise is a central vise for the hour of the heart cycle. The norm is 80-95 mm Hg. Art. The middle arterial grip can be based on the formula: (AT system - AT diast) \ 3 + AT diast

The pulse clutch is established according to the difference between systolic and diastolic AT and in the norm does not change 30-45 mm. rt. Art.

In children, the figures of the arterial vise change

Approximately AT in children can be based on the formula:

from 1 rock to 10 rocky to systolic AT = 90 + n x 2

diastolic AT = 60 + n, de n - vik in rocks

Indicators of an arterial vise (AT) play an important role in diagnosing pathologies of the heart, court system, Step їх training. Once ailments are found, it is possible to overcome the loss of protractedness, incapacity, development accelerated, unreasonable inheritance, and a fatal result. For patients who are in the group, there is no information about those who correctly understand the arterial grip, as well as officials who infuse inaccurate results on the rejection of inaccurate results.

Methods for measuring arterial vise indicators

Defending the patients with pathologies of the heart, the vascular system, and including the regular, systematic vimіryuvannya arterial vise. Yogo indicators allow drug users to get ahead of GOST, signify ineffectively lіkuvannya ailment. One-time measurement of indicators of systolic, diastolic AT cannot be represented real cool picture I will become a patient and visualize the situation only in the singing period. For smoothing the robots of the heart and circulatory system vikorystyutsya development methods vimir. To them are admitted:

• Palpation is the size of the arterial vise, as it is attached to the pneumatic cuff and the impulses to the pulse are squeezed by the fingers of the projection artery. Vidmіtka on the manometer at the first and last pulsating speed of the blood-bearing judgment, even at the value of the upper one. The method is often stagnant for the improvement of children early vik For those who have a foldable appearance of AT, which shows the body of the Sudin, the robot of the heart.
• Auscultatory method of arterial grip on the back of a simple attachment, which can be stored with a cuff, a pressure gauge, a phonendoscope, a balloon of a pear-shaped form for the stem of a compression artery by means of a wind pump. Indicators of the process of healing of arteries and veins from the inflow of difficult blood circulation begin behind the characteristic sounds. Smells z'yavlyayutsya when decompression write vipuskannya potrya from the cuff. Mechanism of vimiryuvannya arterial vise by auscultatory method in the offensive:

1. Adjusting the cuff in the shoulder area and tightening the masses should be brought before the artery is compressed.
2. In the process of a further release, the call will change, and the possibility of the transport of blood through the buildings of the court will be renewed.
3. There are noises, which they called Korotkov's tonics, supervise turbulent plasmas with important leukocytes, erythrocytes, platelets. The stench is easily audible with a phonendoscope.
4. Show the pressure gauge at the moment їх appear by the value upper vise... When there are noises characteristic of a turbulent blood flow, the value of a diastolic AT appears. The whole moment is directed to the virivnyuvannya of the magnitudes of the lasting and arterial grip.

• The oscillometric method is popular for the value of an important indicator of the status of the circulatory system and the health of people as a whole. It is used to transmit automatic blood pressure monitoring and is widely used by people without medical knowledge.

The principle of the method of arterial oscillography of samples on the restoration of changes in the volume of tissue in the minds of the dosed pressure and decompression of the judgment, accumulated by the manifestation of an increased amount of blood during the period of pulse delivery. To remove the compression, the cuff, which is retouched in the shoulder area, is reminiscent of the turn in automatic mode, or for the additional pumping of the mass with a pear-shaped balloon. The process of decompression, which is to repair the writing of the drink, to make the kiss until the end of the day. Such moments are uncomfortable for the eyes of the chilled.

The inner surface of the cuff є with a free sensor and a regulator of the circulating system. The information is transmitted to the attachment and after the analog-digital reworking is processed, the numbers are displayed on the tonometer screen. Smell vkazuyut the size of the upper and lower arterial vise. One hour to see and restore the pulse. The results of the yogo vimiryuvannya can also be seen on the display attached.

Among the most important characteristics of such a method of reducing arterial grip, it is necessary to take into account the simplicity, the efficiency of carrying out the situation, the possibility of an independent evaluation of the arterial grip on the work machine, in home minds, in case of weak tones, the visibility

• Carrying out additional monitoring of the arterial vise (DMAT) is carried out before the functional diagnostic visits, as it is possible to conduct an assessment of the function heart-vascular system in natural minds, the pose of a lykarsky cabinet. The procedure for transferring the bagatorazov vimіryuvannya vise by reaching out for an additional special attachment. I will store it from the cuff, with the resulting tube and attach it, then I will record the results of the upper and lower vice, which will represent the camp of blood-bearing vessels, the robot of the heart meat. Х viznachennya zdіisnyuєtsya skin 15 quills per day and 30 quills at night. The chokhol on the helmet allows you to manually rotate the attachment on the shoulders or the belt of the patient.

Patient for the hour of conducting additional monitoring of the arterial vise is guilty of fiksuvati all his actions, including the reception of the vise and lykarsky zasobiv, Znakhodzhennya behind kerm, hour of peace physical navantazhennya at a visit to the home, on the occasion of gatherings, emotional stress, show unpleasant symptoms, discomfort.

Through an additional device, you can get to know in the doctor's office, which knows how to improve the visibility and correct the exact results, and be transmitted for data processing. Conducting DMAT is highly effective drug therapy, Acceptable r_ven physical activity, Advance the development of hypertension.

Indicators of norms and vidhilen

The normal value of AT (the unit of measurement is the milimetry of the mercury stock) may have an individual character and be located between the digits 120/80. Vіk paciєnta vіdіgає vіdіgrа vіdіgіnі role in diminishedіvіdіvіshennі force onslaught of blood. The changes in the whole body are injected into the arterial vise showing, in order to be carried out to the obligatory diagnostic procedure, so that pathology can be detected in the robotic heart meat, the judicial system. The indication of normal and pathological values ​​of AT, which shows the body of blood-bearing vessels, can be shown to the robot of the heart in the tables:

The revision of such norms in the context of an increase or a change in the need to identify the causes of pathological heart meat, the judiciary system, and the purpose of the methods of usunification.

For the purpose of making the heart, the court system, and nirok, it is necessary to carry out an arterial vise. Algorithm of the process for making the most accurate figures.

s lykarskoy practice seemingly, the grip of the grip helped the great number of children not to become invalids and hid their lives to people.

History of the history of vimiruvalnyh devices

Forward vimiryano vimіryano at the twarins Hales in 1728 r For the sake of the win, I will put the pipe right into the artery of the horse. By sending Poiseuille to the flasks of the tube, a manometer with a mercury scale, and then Ludwig Vinayshov with a float, gave the opportunity to continuously record the help of the equipment without the use of sensors of mechanical power systems and electrical systems. Straight AT by the way of catheterization of sudin vikoristovuyutsya for scientific purposes in diagnostic laboratories.

How does an arterial vise form?

The rhythmic speed of the heart includes two phases: systole and diastolic. The first phase - systole - the speed of the heart meat, before the hour the heart is in the heart of the heart in the aorta and the legenev artery. Dyastola - the period, from the hour when the empty heart expands and replenishes itself with blood. Let me again infuse the systole and in the common diastole. Shelter from the greatest vessels: aorta i legendary artery pass the way to the found - arteriols and capilars, changing all organisms and textiles, sour and picking up two oxides in coal. Capillaries pass into venules, then - in small veins and in greater greats of judgment, and at rest - at veins, as they go to the heart.

A vice in the vessels and the heart

In case of wikid blood from the empty heart, the vice becomes 140-150 mm Hg. Art. In the aorta, the won decreases to 130-140 mm Hg. Art. I chim dal vid heart, chim lower stitches: in the venules there should be 10-20 mm Hg. Art., and blood in the great veins - lower than atmospheric.

If the roof is wagging from the heart, the pulse is restructuring, like a step-by-step zgasaє in the world of passing through all the ships. The flexibility of the widening lies in the size of the arterial grip and elasticity or the springiness of the vertebral walls.

With the help of an arterial grip to move. People from 16 to 50 years in the warehouse 110-130 mm Hg. Art., and for 60 years - 140 mm Hg. Art. and vishche.

Ways to vimіryuvannya blood vise

Є straight (invasive) and indirect methods. In the first method, a catheter is inserted into the vessel with a re-engaging and arterial vise is performed. The algorithm for making progress is such that the process of controlling the signal is automated behind the help of the computer.

indirect way

Technique of vimіryuvannya arterial vise indirectly, using decilcoma methods: palpation, auscultatory and oscillometric. The first method of transferring the process of health and relaxation of the image in the area of ​​artery and finger recognition to the pulse is lower than the compression speed. Rivva-Rocchi in the 19th century, having proponated the cuff 4-5 cm and the mercury scale of the manometer. However, such a vuzka's cuff was screaming for a reference, so it was propped up to 12 cm in width. In the first day of Denmark, the technique of vimiruvannya arterial vise transferring the cuff itself.

The grip in them will be brought up to this world, if the pulse rises, and then it will decrease more and more. The systolic grip is the moment, if there is a pulsation, the distal one - if the pulse is extinguished, or it will be quickened.

In 1905, N.S. Korotkov proponuvav method of vimіryuvannya arterial grip for additional auscultation. A typical attachment for vim_ryuvannya arterial vise according to the Korotkov method is a tonometer. Vin is stored on the cuff, mercury scale. By turning into the cuff, pump up the pears behind the aid, and then let it go through a special valve.

The whole auscultatory method is a standard for reducing a blood vise with a stretch of more than 50 years, but for these reasons, it is difficult to follow the recommendations, and the technique of reducing an arterial vise is broken.

Oscillometric way to get stuck in automatic and semi-automatic attachments in intensive therapy chambers, some of them getting stuck in the cuff. The recording of the arterial grip is carried out at different stages of the decrease in the volume of the turn. Vimіryuvannya arterial vise is possible і with auscultatory dips and weak tones of Korotkov. The whole method is the best fallow type of springiness of the bladder in case of ureteral atherosclerosis. Oscillometric method allowing to install attachments for designation on the upper and lower arteries. Vin allows the process to be made more accurate, changing the process by adding a human factor

Rules for arterial vise control

Croc 1 - vibrate all over the place.

What do you need to know:

1. Yakisny stethoscope

2. Correct size of the cuff.

3. Barometer-aneroid or sphygmomanometer of automation - adjusted with manual inflating mode.

Krok 2 - prepare a patient: change over, wink of relaxation, give yom 5 hilin as a result. For the first time for the appointment of an arterial vise, it is not recommended to drink alcohol and coffee. The patient is guilty of sitting upright, sounding the upper part of the hand, shaking it out manually for the sick person (you can lean on the steel or your support), the feet are guilty to stand on the floor. Know the blood flow, as you can change the pressure in the cuff or the blood flow to the arm. In and out of ailments are guilty, they are satisfied with the growth of the hour before the hour. If ailments are found in the proper lying position, it is necessary to rotate the upper part of the hand on the heart.

Krok 3 - take the correct size of the cuff in the fallowness of the arm: it often happens through the wrong cuff. Pull the cuff onto the patient's arm.

Krok 4 - shake the phonendoscope on the same hand, de-lay the cuff, wrap your hand on the little one, so that you know the place of the strongest impulse sounds, and place the stethoscope over the shoulder artery of the very same place.

Croc 5 - inflate the cuff: press the pump, hear the pulse at once. If you know the pulses, you are not guilty of some sounds through the phonendoscope. If you are not sensitive to the pulse, then it is necessary to inflate, so that the arrow of the bullet pressure gauge on the digits is from 20 to 40 mm Hg. Art., nіzh when transferring a vice. It’s impossible to fit the cuff up to 160 - 180 mm Hg. Art.

Krok 6 - the cuff is inflated by and large: deflation is repaired. Cardiologists recommend to open the valve by such a rank, so that the grip in the cuff decreases by 2 - 3 mm Hg. Art. in a second, the reduction can be inaccurate.

Krok 7 - listening to the systolic vise - first sounds to the pulse. The whole house will start flowing through the arteries of the patient.

Croc 8 - hear the pulse. In the meantime, if the grip in the cuff decreases, the sounds will be heard. Tse i bude dyastolichny, or lower vise.

Reversion of indicators

It is necessary to revise the accuracy of the indicators. For a vimіryuyut grip on both hands for averaging tribute. Check the grip again for accuracy, next time the check is close to five khviliin mіzh vimіrami. As a rule, the arterial grip is in the lower eve of the evening. Inodi digits of the arterial vise are not valid through the patient's absence from the drive of people in large dressing gowns. In such a vipad vikoristovuyut dobové vimіryuvannya arterial vise. Algorithm for tsomu - viznachennya vise by pulling out.

shortcomings in the method

In Danish hour, an auscultatory method is used in any form or clinic to conduct an arterial vise. Algorithm for making shortcomings:

Bigger low numbers of SAT and higher numbers of DAT, lower ones with an invasive method;

Sleepiness to noise in primitive, small transition to your own way;

The need for the correct rosetting of the stethoscope;

Nasty listening to tones of low intensity;

The allowance for the value is 7-10 units.

The whole technique of arterial vise vimiruvannya is not suitable for the monitoring procedure by pulling it out. To control the camp of a sick person in the intensive therapy wards, it is unwise to continuously pump up the cuff and create noise. You can negatively signify in the backyard of a sick and vicious day. PTs_fri vise will be incomplete. In case of an unaccountable stance of a sick person and an increased activity of his hands, it is unwise to place his hand on the heart. An intense signal can cause an uncontrolled patient's behavior, so the computer will give a pulse, as well as a pulse.

To that, in the wards of reanimation, cuff-free methods are used, as I want to compromise for accuracy, ale the stench more nadіynі, operatively and manually for continuous control over the vice.

What is the arterial vice in pediatrics?

Vimіryuvannya arterіalnya vise in children does not іnіdrіznіаnja from the technology of the viznachennya yogo in grown-ups. Once the cuff has grown, it didn’t pass. In general, a cuff is required, the width of which is to be folded three quarters from the side of the tongue to the groin fossa. In Danish hour, there is a great vibration of automatic and automatic attachments for vimiruvannya arterial vise in children.

Figures of a normal vice to lie down in a vіku. For the digits of the systolic vise, it is necessary to multiply the number of the child in the rock by 2 and multiply by 80;

Apply an arterial vise for vimіryuvannya

Vimіryuvachі arterial vise are called tonometers. Є mechanical and digital are mercury and anerobic. Digital - automatic and non-automatic. Find out and dovostrokovy attachment є mercury tonometer, or sphygmomanometer. A little more digital and easier to operate, allowing them to be victorious in the minds of the home.

equipment: tonometer, phonendoscope, post temperature sheet, pen.

Algorithm for determining the manipulation:

1. Reinstall dovіrchі vіdnosini with the patient, explain the meta and іd manіpulyatsіy, otrimati th year.

2.Vimit, dry your hands.

3. Prepare everything you need.

4. Sit down the patient to the table or press the hand position, lying on the back.

5. Put the patient's hand in the position, burn down.

6. Put a hand in a fist with a hand in your fist, or a towel, bend at the roller.

7. Free the patient's shoulder from the sleeves.

8. Put the cuff of the tonometer on the bare shoulder by 2-3 cm in the middle of the skin (in the middle of the heart) so that it passes between it and the shoulder, passing 1-2 fingers.

9.Pipe the cuff tubes down.

10.Check the position of the tonometer arrow (guilty of starting from "0"), roztashuvati yogo on the eyes.

1. To palpate the pulse in the l_ktyovy pit on the shoulder or promenade artery.

12. Place the phonendoscope on the pulsation point of the artery, slightly squeezing.

13.Close the valve on the pear-shaped balloon of the tonometer.

14.Push into the cuff of a twist (squeezing a pear-shaped balloon), leave the grip in the cuff behind the pressure gauge shown, do not twist it by 20-30 mm. rt. Art. that rivn, at which the pulsation of the artery ceases to start (hangs).

15.Open the valve of the pear-shaped balloon with a constant speed of 2-3 mm Hg. Art vipuskati povitrya from the cuffs, one hour vislukhovuvati phonendoscope Tony (Shumi) Korotkov.

16.Note the indication of the manometer at the moment of the appearance of the first last tones - the result of the magnitude of the systolic arterial vise.

18. Note the moment of knowing (and not muffling) Korotkov's tones - the process of changing the magnitude of the diastolic arterial grip.

19. Let the grip on the cuffs, hanging from Tony Korotkov, until the vise in the cuff is equal to "0".

20.Give the patient the opportunity to accept 1-2 min.

21. Measure the arterial vise again.

22.Remove the cuff, press the patient manually (sitting or lying).

23. Record the trimmed data in the post temperature sheet (in fraction), depending on the patients.

24. Wash, dry your hands.