Directions for Use Chapter 3 Patient Monitoring 33
Positioning the Cuff
For the most accurate measurement, do the following:
1. Position the cuff on the bare arm, midway between the shoulder and the elbow.
Typical cuff positions are shown in this illustration:
2. Position the alignment mark on the cuff directly over the brachial artery.
Note
Be sure that the cuff is neither too tight nor too loose. When putting it on the
patient, wrap it so that you can comfortably fit two fingers between the cuff and
the arm.
Be sure that the air hose has no kinks or twists.
During an NIBP measurement, limit the movement of the cuff and the cuffed
extremity.
If the cuff is not level with the heart, add 1.8 mmHg to the displayed reading for
each inch of elevation above the heart, or subtract 1.8 mmHg from the displayed
reading for each inch of elevation below the heart.
Always use the appropriate cuff size for each patient.
Adult and Pediatric
Neonatal
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