Riester ri-medic Instructions D'utilisation page 14

5. MEASURING BLOOD PRESSURE WITH THE RIESTER ri-medic
Your Riester ri-medic device is designed to take accurate blood pressure readings by the oscillometric method. Systolic
pressures from 60 to 270 mmHg and diastolic pressures from 30 to 170 mmHg lie within the range of your device.
In most cases, you will be able to take accurate blood pressure (BP) and pulse rate (HR) measurements within 30-40 seconds.
Steps in taking a BP measurement are:
Prepping the patient and attaching the cuff
Taking the measurement
a.) Prepping Your Patient
Ensure that the patient:
Is not wearing any constricting clothing on the selected arm.
Has no injury or tissue damage on the selected arm.
Keeps the cuffed arm at heart level.
Keeps the cuffed arm motion-free and relaxed without any muscle tension in the biceps and triceps during the measurement.
Does not cross his/her legs for the measurement.
Keep aware of current practices as recommended by the American Heart Association, British Hypertension Society, and other
medical practice associations.
Ready the patient into a sitting
Remember that a patient's BP can vary with position.
The stress of being in a clinical situation often causes patients to undergo 'white coat hypertension,' leading to
higher-than-normal readings. Help your patient to relax as you prepare to take the measurement.
b.) Selecting the Right Cuff
Your device comes with durable two-piece cuffs from Riester. Cuffs are available in a range of sizes, from Child to Thigh. Note
that your Riester ri-medic works optimally with Riester cuffs.
Select a cuff you estimate to be of the right circumference.
Wrap the cuff around the patient's upper arm midway between the elbow and the shoulder.
Ensure the ARTERY arrow is over the brachial artery, between the biceps and triceps muscles on the inside of the arm.
Use the range indicator and the INDEX line on the inside of the cuff to check that the arm circumference falls within the
specified range of the cuff. If the arm is within range, this cuff size is correct for your patient. If the measurement is outside
the RANGE indicator, use the appropriate larger or smaller cuff and recheck.
Using a cuff that is too small, commonly called undercuffing, can result in overestimating a patient's BP. Using
a cuff that is too large, or overcuffing, can result in underestimating a patient's BP. For most accurate results,
take care in selecting the appropriate size cuff for your patient.
Ensure that the BP pressure hose is connected to the cuff. Confirm that the hose is neither compressed nor kinked.
Ask the patient to stay still and quiet before taking the measurement.
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, standing , or supine position.