SELF HEALTH CHECK-UP-CHECK YOUR B.P AT HOME BY YOUR SELF-I

KNOW HOW TO MEASURE B.P BY YOURSELF

    Our overall health is based on many parameters out of which blood pressure is one of them. Our daily blood pressure varies every second according to our daily activities and situations which we face every day. Emotional environments at home as well as in our workplace play an important role to deal with our normal blood pressure. Social activities such as sports, games, friendships, and enmities play another role to deal with our blood pressure.

For an employer the B.P. rises and falls whenever he deals with his business's profits and losses.

A student's B.P.is highly sensitive when he is in the examination hall.

A criminal's B.P.goes beyond the control when he is on the run and as well as when he is caught up.

The B.P flares up during when a criminal faces his death sentence at the gallows.

On the other side the abnormal fluctuations in the blood pressure affect many of our body organs and their normal functions.

Important organs such as our brain, kidney, liver eyes, and our visceral organs such as our digestive organs are all affected by the variation in the blood pressure.

Catecholamines such as adrenaline, noradrenaline, and dopamine activities predominate when a person is at stress. His B.P.rises, his heartbeat increases, and the blood supply to various organs such as the brain, kidney, and liver get reduced and finally our overall health is jeopardized.

Hence every day or at least weekly once checking your pressure is very important to lead a healthy life.

There are many types of B.P. apparatuses are available in the market to check your B.P at home by yourself.

They are manual, semi-automatic, and automatic.

They are mechanical and as well as electronic.

Electronic and mechanical instruments both use oscillometric methods.

An oscillometric method is one which measures blood pressure oscillations at the area in which blood circulation is blocked or cuffed and released. The area is usually at the upper arm or wrist. When a cuff is placed around the upper arm or wrist and inflated to tight around the arm the blood gets occluded in that area. When the cuff is deflated the blood begins to flow again by making the walls of the artery on that area more vulnerable to oscillate which is more pronounced to measure either by digitally or by mechanical sounds which can be heard by a stethoscope.
There are two methods of assessing your B.P.
1.Palpable Method in which you can assess your systolic pressure by counting the number of palpitation at the wrist artery exactly below the inner side of your thump. But by this method you cannot assess the diastolic pressure. Palpable methods can be done at the wrist radial artery.
2.Oscillatory or Auscultatory Method in which both the systolic and diastolic pressures can be measured satisfactorily by using instruments. This method can be performed conveniently on both the wrist radial artery as well as the arm-elbow brachial artery.

Preparations For B.P.Measurements:-

                           

Get ready with your instrument by removing it from its package. Fit the inflating cuff with its plugged with the monitor properly. The monitor should be connected with the A/C electrical outlet. Ensure the correct voltage mentioned at the bottom of your instrument. Otherwise use batteries.

The best time to measure B.P.is morning soon or one hour after you get up from your bed before taking tea or coffee on an empty stomach. Morning pressure is an important indicator of your normal health. Morning B.P.measurement can be comfortably done if you have your own B.P.kit at your home otherwise you must be an inpatient in a hospital.

2.Sit in a chair comfortably and rest your back at the chair. Relax for 10 minutes and keep your two feet apart from each other.

3. The monitor must be placed comfortably on a table so that the height of the table should be just below your heart or chest and the monitor should be on a straight line with your heart.

4.If you are a right-handed man use your left hand for measurements and vice versa

5. Put the cuff around your arm properly and tight it around the arm so that your index finger can be inserted. Too much tightness or too loose may give you wrong readings. The stethoscope bulb is in a straight line with your heart.

6. Again relax for five minutes. The room should be properly ventilated and should be calm. Avoid speaking or hearing music.

7. Press the start button. If your instrument is automatic it inflates automatically and when it reaches the point above your assessed systolic pressure it stops and deflates immediately. When it completes deflation the monitor will show three readings. The upper reading is the systolic pressure which should be normally 110 to 120 m.m.

The middle reading is the diastolic pressure which should be around 75 to 85 m.m

The lower reading is the pulse measurement which should be around 65 to 75.

If your instrument is not automatic inflate the cuff manually by a bulb pump just above your assessed systolic pressure and allow it to deflate.

8. Repeat it two times with half an hour gaps.

9. Take an average reading
10.If you take at least 5 readings that is better. Out of the 5 readings assess the B.P as follows.
For examples out of five tests you may get 5 readings as follows:-
110/80;130/80;130/85;120/80;130/80
You can assess the correct reading out of the five as follows:-
Mode:-The most frequently occur reading-130/80
Median:-The middle reading or average of the middle readings-130/80
The Mean:-Average readings of all the five readings-124/81

What are systolic and Diastolic Pressures?

Systolic pressure occurs when your left ventricle squeezed and loads the blood into the aorta- the main trunk of the artery- the afterload scenery.

Diastolic pressure occurs when the ventricles relax and to receive purified blood from the pulmonary vein.-The preload scenery.
There are many types of B.P kits are available. You can choose from a standard company.