Ryan Dunphy
Fall 2008
dunphy91@students.rowan.edu
908.268.9514
Saturday October 25
Saturday November 1

Cardiovascular disease (CVD), principally
heart disease and stroke, is the nation's leading
killer for both men and women among all
racial and ethnic groups


Force of blood on arterial walls
Increases with age, stress, fitness level, etc
Would be nice to
be 110/70 (newer
suggestion)
OVER 50YRS:
NORMAL = Less
than 160/90
*********************
Systolic
Diastolic
/
Normal
Less than 120
Less than 80
120/80
Prehypertension
120-139
80-89
120/80  139/89
Hypertension
(Stage 1)
140-159
90-99
140/90  159/99
Hypertension
(stage 2)
Higher than 160
Higher than 100
160/100
Laminar
Turbulent
No Flow
Turbulent
Laminar
THESE TYPES OF BLOOD FLOW IS WHAT YOU HEAR, (AND DON’T
HEAR) WHEN TAKING A BLOOD PRESSURE READING.
QUESTIONS?
Electronic
Welcome client, introduce yourself
 Be sure client feels comfortable and safe
-remember health behavior!
3 Forms
-Waiver
-Questionnaire
-Client Handout











Intro
Forms
Cuff Selection
Prep
Radial Pulse
Brachial Pulse
30+
Deflation Listening
Sys / Dia
Keep: Q & W – Give:Res


EXPLANATION!!
Most clients have no
idea what a bunch of
numbers mean, so you
do! Give suggestions for
lowering or refer to
doctor, YOU CANNOT
TELL SOMEONE THEY
ARE HYPERTENSIVE!


EXPLANATION!
Most clients have no
idea what a bunch of
numbers mean, so you
do! Give suggestions for
lowering or refer to
doctor

You are not diagnosing
a disease; you are
simply providing a
reading for that day
Would be nice to
be 110/70 (newer
suggestion)
OVER 50YRS:
NORMAL = Less
than 160/90
*********************
Systolic
Diastolic
/
Normal
Less than 120
Less than 80
120/80
Prehypertension
120-139
80-89
120/80  139/89
Hypertension
(Stage 1)
140-159
90-99
140/90  159/99
Hypertension
(stage 2)
Higher than 160
Higher than 100
160/100
19
9







heart large arteries
(taper down to) 
smaller arteries (arterioles)
(taper down) 
smaller vessels (capillaries)
02 & nutrients  organs of your body
returns to your heart through veins.
SO…

dilate

contract



(become larger) =easy flow
(become smaller) =hard to flow
Hard to flow = increased pressure
When this happens, your heart becomes
strained and blood vessels may become
damaged.
“Silent Killer” that’s why we monitor it!

Obesity

Eating too much salt

Alcohol

Lack of exercise

Stress

Race

Heredity

Age




Heart works harder
Increased pressure
Over time, limited performance
Increased risk for many problems
Automotive
Example
YES
Lightheadedness
 Fainting



(graphic)









High blood pressure is a lifelong disease.
It can be controlled but not cured.
The first thing you can do is to have your blood
pressure checked. DOCTOR!
Low-fat diet
Low-salt diet – too much already!
Quitting smoking
Losing weight
More exercise
Reducing alcohol







Radial Pulse
Inflate to no feeling
Deflate
Earpieces in, reader set
Inflate to 30 above
Deflate SLOWLY
First lubb is sys, dia is last lubb
TIMES AVAILABLE:
Monday, October 27th
5 People for 11-12:
5 People for 4:30-5:30
1)_________________1)_____________________
2)_________________2)_____________________
3)_________________3)_____________________
4)_________________4)_____________________
5)_________________5)_____________________


Next Week, Same Time, Same Place
 Bring #2 pencil for Scantron