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Robert11
medicine forum beginner
Joined: 26 May 2005
Posts: 29
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 Posted: Tue May 30, 2006 11:17 am Post subject:
Taking Blood p Thru Shirt Question ?
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Hello,
When taking blood p with one of those automatic arm cuff pump inflators
monitor,
would one expect any meaningful differences between placing the cuff on the
bare arm
vs thru a long sleeve (usually an oxford) shirt ?
I realize the bare arm is undoubtedlky best, but any "real" difference ?
Thanks,
Bob |
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Andrew B. Chung, MD/PhD
medicine forum Guru
Joined: 25 Mar 2005
Posts: 8540
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| Posted: Tue May 30, 2006 11:21 am Post subject:
Re: Taking Blood p Thru Shirt Question ?
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Robert11 wrote:
| Quote: | Hello,
When taking blood p with one of those automatic arm cuff pump inflators
monitor,
would one expect any meaningful differences between placing the cuff on the
bare arm
vs thru a long sleeve (usually an oxford) shirt ?
I realize the bare arm is undoubtedlky best, but any "real" difference ?
|
Possibly. It should be a simple matter to unbutton at the cuff and
roll the sleeve up.
Thanks be to GOD, Whom I love with all my being.
Prayerfully in Christ's amazing love,
Andrew
http://tinyurl.com/jjl29 |
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Don Kirkman
medicine forum Guru
Joined: 28 Apr 2005
Posts: 726
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| Posted: Tue May 30, 2006 6:48 pm Post subject:
Re: Taking Blood p Thru Shirt Question ?
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It seems to me I heard somewhere that Robert11 wrote in article
<wpqdndlXO_IptOHZnZ2dnUVZ_t6dnZ2d@comcast.com>:
| Quote: | When taking blood p with one of those automatic arm cuff pump inflators
monitor,
would one expect any meaningful differences between placing the cuff on the
bare arm
vs thru a long sleeve (usually an oxford) shirt ?
I realize the bare arm is undoubtedlky best, but any "real" difference ?
|
In the past couple of years I've noticed all my doctors and nurses,
including the cardiology group, don't bother to ask me to roll up my
sleeves. If it's good enough for them I assume it's good enough for me.
Of course it's been two weeks since the last visit, so maybe they've
changed. :-)
FWIW, the same goes for using the stethoscope on bare skin.
--
Don Kirkman |
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Jeff
medicine forum Guru
Joined: 25 Mar 2005
Posts: 1313
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| Posted: Tue May 30, 2006 11:09 pm Post subject:
Re: Taking Blood p Thru Shirt Question ?
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"Robert11" <rgsros@notme.com> wrote in message
news:wpqdndlXO_IptOHZnZ2dnUVZ_t6dnZ2d@comcast.com...
| Quote: | Hello,
When taking blood p with one of those automatic arm cuff pump inflators
monitor,
would one expect any meaningful differences between placing the cuff on
the bare arm
vs thru a long sleeve (usually an oxford) shirt ?
I realize the bare arm is undoubtedlky best, but any "real" difference ?
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Next time, take the blood pressure with the shirt on, then rolled up. See if
there is any difference.
Jeff
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David Rind
medicine forum Guru Wannabe
Joined: 02 May 2005
Posts: 205
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| Posted: Tue May 30, 2006 11:29 pm Post subject:
Re: Taking Blood p Thru Shirt Question ?
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Robert11 wrote:
| Quote: | Hello,
When taking blood p with one of those automatic arm cuff pump inflators
monitor,
would one expect any meaningful differences between placing the cuff on the
bare arm
vs thru a long sleeve (usually an oxford) shirt ?
I realize the bare arm is undoubtedlky best, but any "real" difference ?
Thanks,
Bob
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This has actually been studied:
Fam Pract. 2003 Dec;20(6):730-2. Comparison of blood pressure
measurements on the bare arm, below a rolled-up sleeve, or over a
sleeve. Kahan E, Yaphe J, Knaani-Levinz H, Weingarten MA.
BACKGROUND: This study examined the effect of measuring blood pressure
below subjects' rolled-up sleeves, over the sleeve, or on the bare arm.
This is an important day-to-day issue for the busy GP. METHODS: The
sample consisted of 201 subjects in family practice clinics and
residents of a senior citizens' home. A digital device was used in all
cases. Each participant underwent three blood pressure measurements in
each of the following conditions in random order: cuff on bare arm; cuff
over the sleeve; and cuff below the rolled-up sleeve. Differences
between measurements were plotted against the mean blood pressure.
Confounding factors controlled for were age, sex, clothing pressure and
skin-fold thickness. RESULTS: Differences in mean blood pressure
readings between the clothed and bare arm were 0.5 mmHg (SD 7.5) for
systolic pressure and 1 mmHg (SD 5) for diastolic pressure; neither
difference was significant. However, in hypertensive subjects (>140 mmHg
systolic), although the mean difference remained small (systolic
pressure, 2 mmHg, SD 10), the range of difference for individual
subjects was -32 mmHg to +22 mmHg. CONCLUSION: The degree of clothing
under the sphygmomanometer cuff does not have a clinically important
effect on the blood pressure measurement. In patients known or found to
be hypertensive, measurement on the bare arm is recommended.
--
David Rind
drind@caregroup.harvard.edu |
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