American Diagnostic Corporation (ADC) ADview Modular Diagnostic Station - Manual (Page 32)

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Taking a measurement on each arm helps rule out dissecting aneurysms, coarctation of
the aorta, vascular obstruction and possible errors in measurement.
1
You can find more tips like this in the American Heart Association’s current scientific
statement on recommendations for blood pressure measurement.
Taking a Manual Sphygmode Measurement
1. With the patient prepped as described earlier (page 19), and the device powered on, palpate the
brachial artery at the antecubital fossa. Place your stethoscope over this space.
2. Press and hold the Sphygmode manual button until you inflate the cuff to a level at least 30
mmHg higher than the patient’s systolic pressure.
3. Once the cuff has been inflated to the desired level, release the Sphygmode manual button. The
cuff begins to deflate at approximately 3mmHg/sec and the device displays the cuff pressure.
4. While listening to your stethoscope, note the systolic and diastolic pressures corresponding to the
first and last Korotkoff sounds (K-sounds) heard.
Press the Sphygmode manual button to re-inflate the cuff.
Press the automatic button if you need to rapidly release all the air from the cuff.
1 Circulation. AHA Scientific Statement: Recommendations for Blood Pressure Measurement in Humans
and Experimental Animals, Part 1: Blood Pressure Measurement in Humans: A Statement for Professionals
From the Subcommittee of Professional and Public Education of the American Heart Associations Council
on High Blood Pressure Research. Thomas G. Pickering, MD, DPhil; John E. Hall, PhD; Lawrence J.
Appel, MD; Bonita E. Falkner, MD; John Graves, MD; Martha N. Hill, RN, PhD; Daniel W. Jones, MD;
Theodore Kurtz, MD; Sheldon G. Sheps, MD; Edward J. Roccella, PhD, MPH, 2005;111:697-716.