Inadequate cuff width and circumference will artificially elevate pressure readings.16 However, many morbidly obese patients are hypertensive, and a high pressure reading cannot always be blamed on inappropriate equipment. In order to minimize errors in blood pressure recording, a correct ratio of cuff width to arm circumference, approximately 2:5, should be chosen. The bladder length should be 80 percent of the arm circumference. The ED should stock a variety of sizes of blood pressure cuffs specifically for use in the obese population.
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A time for giving and receiving, getting closer with the ones we love and marking the end of another year and all the eating also. We eat because the food is yummy and plentiful but we don't usually count calories at this time of year. This book will help you do just this.