11-6 Dash 2500 Patient Monitor 2042480-001 C
NIBP: Procedures
3. Choose the appropriate blood pressure measurement site. In Adult/
Pediatric, because normative values are generally based on this site and as
a matter of convenience, the upper arm is preferred. When upper arm size
or shape or the patient’s clinical condition or other factors prohibit use of
the upper arm, the clinician must plan patient care accordingly, taking into
account the patient’s cardiovascular status and the effect of an alternative
site on blood pressure values, proper cuff size and comfort. The figure
shows the recommended sites for placing cuffs.
Recommended Cuff Placement
WARNING
Do not place the cuff on a limb being used for intravenous
infusion or any area where circulation is compromised or has
the potential to be compromised.
4. If patient is standing, sitting, or inclined ensure that cuffed limb is supported
to maintain cuff at level of patient’s heart. If cuff is not at heart level, the
difference in systolic and diastolic values due to hydrostatic effect must be
considered. Add 1.80 mmHg to values for every inch (2.54 cm) above heart
level. Subtract 1.80 mmHg from values for every inch (2.54 cm) below heart
level.
5. Choose appropriate cuff size. Measure patient’s limb and choose
appropriately sized cuff according to size marked on cuff or cuff packaging.
When cuff sizes overlap for a specified circumference, choose the larger size
cuff.
CAUTION
Precaution: Accuracy depends on use of proper size cuff.
6. Inspect cuff for damage. Replace cuff when aging, tearing or weak closure is
apparent. Do not inflate cuff when unwrapped.
CAUTION
Do not use cuff if structural integrity is suspect.
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