Vital Signs: Blood Pressure

Vital Signs: Blood Pressure


  • Assess for signs of hypotension, including weak pulse, diaphoresis, pallor, and dizziness.

  • Assess for signs of hypertension, including headache, bounding pulse, and flushing.

  • Explain to the child and family why monitoring is important, how it is done, and equipment used. Use language that is appropriate for developmental level (e.g., “I’m going to see how your heart is working. You will feel like your arm is getting a hug.”).

  • In nonemergent situations:

    • Show child equipment and let child handle equipment.

    • Demonstrate on family member, other staff, or stuffed animal how procedure is done and how equipment is used, as age appropriate.

  • Measure BP after 5 minutes of rest, when possible, to ensure the most accurate reading because agitation may falsely elevate the results. Position child’s arm (extremity) at heart level during the rest; a level below the heart may cause false high readings, a level above the heart may cause false low readings.

Jul 9, 2020 | Posted by in NURSING | Comments Off on Vital Signs: Blood Pressure

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