How to take your blood pressure

How to take your blood pressure
1. Use the proper size cuff

Use a blood pressure cuff that fits the circumference of the middle of your upper arm.

As a general guide:

  • An adult cuff fits a circumference of 27cm – 34cm.
  • A large adult cuff fits a circumference of 35cm – 44cm.
  • An adult thigh cuff fits a circumference of 45cm – 52cm.

Using a cuff that is too small for your arm can give you a blood pressure reading that is falsely high.

2. Apply the cuff properly

Apply the cuff:

  • Snugly against your bare skin and not over clothing.
  • So its lower border is an inch above your elbow crease.

Follow the instructions/illustrations on your blood pressure cuff or in the manual to be sure the cuff is positioned correctly on your arm. Applying the cuff too tightly can give you a blood pressure reading that is falsely high.

3. Keep the cuff at heart level

Keep your arm slightly flexed and supported with the cuff at heart level.

  • If your arm is unsupported, your blood pressure can read falsely high.
  • If the cuff is above heart level, your blood pressure can read falsely low.
  • If the cuff is below heart level, your blood pressure can read falsely high.
4. Maintain proper posture

Sit in a chair with your:

  • Back supported
  • Legs uncrossed
  • Feet flat on the floor
5. Rest and relax
  • Sit and relax for 5 minutes before taking your blood pressure.
  • Don’t talk while your taking your blood pressure.
  • Wait one full minute between multiple measurements.
  • Wait at least 30 minutes after any nicotine, caffeine, alcohol, other stimulants.
  • Wait at least 60 minutes after any strenuous exercise.
Sources:
ACSM’s Health-Related Physical Fitness Assessment Manual, 2nd ed. Lippincott Williams & Wilkins, 2008.
American Heart Association

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