Professional Documents
Culture Documents
MANAGEMENT
Healthy Exercise
Eating
Medications Self
Monitoring
Overview of Patient Self Management
Self
Monitoring Moods
Exercise Money
Healthy
Eating Work
Meds Home
Medications and their Classes
Activity
Medications Side Effects
• Contradicted in Gout
Thiazides • Glucose intolerance
• Hypokalemia, Hyponatraemia
• Bronchospasm
Beta • Erectile Dysfunction ARB
Blockers • Lethargy • Well tolerated
• Bradycardia
Parati, G. et al. (2008). European Society of Hypertension guidelines for blood pressure
monitroing at home: a summary report of the Second International Consensus Conference
on Home Blood Pressure Monitoring. Journal of Hypertension, 26(8), 1505-1530
Which arm?
The issue as to which arm should be used for blood
pressure measurement has been controversial … The fact that
… differences between arms …and differences between
sequential arm blood pressure measurements …
However, a recent study has shown significant differences in
inter-arm differences for systolic and diastolic blood pressure,
leading to the recommendation that bilateral measurement
should be made on first consultation and, if reproducible
differences greater than 20 mmHg for systolic or 10 mmHg
for diastolic pressure are present on consecutive readings,
the patient should be referred to a cardiovascular centre for
further evaluation with simultaneous bilateral measurement
and the exclusion of arterial disease.
Lane, D. et al. (2002) Interarm differences in blood pressure: when are they clinically
significant? Journal of Hypertension, 20:1089–1095.
Left arm or Right arm?
In individuals with a consistent and significant
between-arm difference (e.g. >10mmHg systolic
and/or >5mmHg diastolic) on repeated measurements,
the arm with the higher BP should be selected for future
measurements. During HBPM, measurements should be
performed sequentially always on the same arm.
Parati, G. et al. (2008). European Society of Hypertension guidelines for blood pressure
monitroing at home: a summary report of the Second International Consensus Conference
on Home Blood Pressure Monitoring. Journal of Hypertension, 26(8), 1505-1530
Upper arm or Wrist devices?
http://www.bhsoc.org/bp_monitors/automatic_wrist.stm
Upper arm or Wrist devices?
Microlife BP A100
(pregnant)
http://www.bhsoc.org/bp_monitors/automatic.stm
British Hypertension Society
Omron R6 Omron R7
http://www.bhsoc.org/bp_monitors/automatic_wrist.stm
German Hypertension Society
Correct
HEIGHT
3) Cuff height should be same
height as your heart
Resources
http://www.bhsoc.org/Blood_pressure_Publications.stm
http://www.nhgp.com.sg/contentview.aspx?article_id=645
http://www.moh.gov.sg/mohcorp/publications.aspx?id=16334