Analysis of Blood Pressure Measurement Methods: A Literature Review

This literature review examines various methods of blood pressure measurement, focusing on the differences between measuring over sleeved arms and rolled-up sleeves, particularly in emergency situations. It highlights the importance of accurate blood pressure readings for diagnosing and treating cardiovascular issues, emphasizing that inaccurate readings can lead to misdiagnosis and the escalation of diseases. The review discusses the standard practice of measuring blood pressure at the brachial artery and the growing use of finger and wrist monitors. It also addresses the significance of both systolic and diastolic pressure measurements, noting gaps in previous research that often prioritize diastolic pressure. The review references several studies and articles, underscoring the need for precise blood pressure measurement in patient care and treatment, as well as the monitoring of cardiovascular homeostasis in critically ill patients. The study aims to fill the gap in knowledge and highlight the significance of systolic blood pressure measurement.

Running head: LITERATURE REVIEW 1
Literature Review
Student’s name
Institution’s name

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Literature Review
Previous research has been conducted dealing with the different ways of measurement of
blood pressure in the event of an emergency. Two of the blood pressure measurements methods
include measurement of sleeved arm and the measurement of rolled up sleeve of patients. The
ideal measurement method is the rolled up sleeve method. Some emergencies require instant
monitoring of blood pressure that lead to the measurement of blood pressure over sleeved arms
as opposed to the ideal, rolled up sleeves. According to Greiwe, et al., (2016), when the heart
pumps blood to all the parts of the body, it generates pressure that is exerted against the walls of
the arteries. The nature of the department is such that any slight mistake can lead to loss of life
incapacitation or the disability of the patient. The standard site and location for the measurement
of blood pressure is the brachial artery.
According to Capristoa., et al.,(2017) Poor reading of the blood pressure might lead to a
misdiagnosis, which might lead to the escalation of the disease. Accurate measurement and
understanding of blood pressure are essential for various reasons chief of which is the prevalence
of heart disease deaths. According to Greiwe, et al., (2016) a rise in the pressure of the blood is
the most common and significant cause of disability and death in the world. The accurate and
prompt measurement of blood pressure helps in the treatment and prevention of blood pressure
and related heart deaths and illnesses.
According to Perm (2009) the measurement of blood pressure is an exercise that is
pertinent to patient care and treatment of hypertension and other heart-related diseases. The
accurate measurement of blood pressure is an essential issue in the practice of nursing care.
Today the monitors used for the analysis of pressure at the fingers and the wrists have gained

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popularity. Accurate measurement and reading of blood pressure are essential for close
monitoring of blood pressure deficits and complications that might accrue from the condition.
According to Nisbet et al., (2014) the precise measurement of blood pressure is correct in
the monitoring of cardiovascular homeostasis in critically ill patients. The history of blood
pressure measurement in the medical world has been made using a sphygmomanometer made
using mercury. Emergency services call for rapid yet accurate action on the part of the physician.
All methods of analysis of blood pressure ought to remain aware to the fact that the diastolic and
systolic pressure varies from time to time and hence a variation of the type of instrument used for
measurement is essential in finding the correct blood pressure measurement.
Gaps in Previous Research
The main gap in the research touching on blood pressure measurement is found in the
fact that many of the aforementioned research papers focus on the measurement of diastolic
pressure. According to convention, diastolic pressure measurement was the best predictor of risk.
The study recognizes the fact that the measurement of systolic blood pressure is more significant
compared to diastolic pressure. The study comes in to fill the gap in knowledge and distinguish
the significance of the two kinds of pressure.
It studies how they are influenced by sleeved arms and rolled up sleeves. The definition
of care guidelines governs the documentation of blood pressure. Other factors include orders by
the physician and nursing clinical judgment. Professionals are supposed to assess the patient for
any vital signs. Although the measurement of blood pressure is the most common medical
procedure performed in the world, its effectiveness in addressing a wealth of health issues is not
well treated.

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References
Capristoa., E., Panunz, E., Gaetanob, A., Raffaelli, E., Guidonea, C., Iaconellia, A., et al. (2017).
Intensive lifestyle modifications with or without liraglutide 3 mg vs. sleeve gastrectomy:
A three-arm non-randomised, controlled, pilot study. Diabetes & Metabolism, 1(2), 123-
132.
Greiwe, G., Tariparast, P., Behem, C., Petzold, M., Herich, L., Trepte, C., et al. (2016). Is
Applanation Tonometry a Reliable Method for Monitoring Blood Pressure in Morbidly
Obese Patients Undergoing Bariatric Surgery? British Journal of Anaesthesia, 116(6),
790–796.
Nisbet, L., Yiallourou, S., Waltera, L., & Hornea, R. (2014). Blood Pressure Regulation,
Autonomic Control and Sleep Disordered Breathing in Children. Sleep Medicine
Reviews, 18(2), 179-189.
Perm, J. (2009). The Importance of Accurate Blood Pressure Measurement. Permenante Journal,
1(3), 51-54.