THE PRE-OSCE HANDBOOK "Embrace the OSCE journey; each station is a step closer to expertise."
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Ensure the patient is adequately rested, either in a seated or reclined position for a duration of 5-10 minutes . Open the valve connecting the manometer and the mercury reservoir. Exposethearm. Providesupport for thearm by resting it on a flat surface at heart level, such as bench, table, orcouch. Position the cuff around the upper arm, approximately 1-2 cm abovethe bend of theelbow. Set up the sphygmomanometer on a level surface, ensuring that the mercury reservoir aligns with the heart's level, and the gauge is at the same level as the examiner's eye. Confirm that the mercury level reads zero before commencing the measurement. Holding the inflation rubber bulb in your other hand, use your index finger and thumb to shut the valve by turning it in a clockwise direction. Gradually compress the rubber bulb to inflate the cuff while monitoring the radial pulse. Once the pulse is no longer palpable, take note of the reading displayed onthe manometer. Step 2 What do you need ? Step 1 you got your systolic pressure Introduce yourself Inform the patient about the procedure you’reabout to perform Ask forconsent 1. 2. 3. Blood Pressure measurement Sphygmomanometer Stethoscope Identify the radial pulse using one hand. palpation method
Turn the valve counterclockwise to release the pressure in the cuff until it reaches 0 mmHgand allow it to rest for 2 minutes. Step 3 With the stethoscope's earpieces in your ears, position the diaphragm of the stethoscope over the brachial artery below the cuff and secure it in place with two fingers or your thumb. Gradually open the valve so that the mercury column lowers at a rate of approximately 2 mmHg per second. Close the valve of the rubber inflation bulb with your index fingerand thumb Inflate the cuff to 20-30 mmHg above the palpated (systolic) pressure Listen for the initial rhythmic tapping sound synchronized with theheart rate. KOrotkoff sound (taken as systolic blood pressure) Pay attention for the transition in sound quality, shifting from a distinct tapping to a more muffled tone. Keep reducing the pressure in the cuff while listening until the sound becomes weak or indiscernible. y0u got your diastolic blood pressure Ultimately, release the valve entirely and remove the cuff from thesubject'sarm. Ultimately, release the valve entirely and remove the cuff from thesubject'sarm. Cuff Valve Inflation bulb Radial pulse AUScultation method
Cleanthethermometerusingalcohol swabs. Makesurethethermometer is switched on,and ingood working order. Placea disposablecover over the probeend. Placethe probeunder thetongueforat least 2-3 minutes,ask the patient to closethelips firmly around thethermometer, without bitingit. Record oral temperature. Removeand disposeused thermometer disposablecover. Inform the procedureis doneand thank the patient. 1. 2. 3. 4. 5. 6. 7. TEMPERATURE measurement WHERE TO RECORD? ORAL TYMP A N CI RECTAL AX LI LARY Salutation/Greeting Self-introduction Purpose: Today, I will betaking your body temperature by usingthis thermometer. 1. 2. 3. important! oral tympanic Makesurethethermometer is switched on,cleanand ingood working order. Placea disposablecover over the probeend. Placethe probeinto theearcanal for 10-15 seconds. Record tympanictemperature. Removeand disposeused thermometer disposablecover. Inform the procedureis doneand thank the patient. 1. 2. 3. 4. 5. 6.
Makesurethethermometer is switched on,cleanand ingood working order. Try me! Placea disposablecover over the probeend. Placethe probeinto theearcanal for 10-15 seconds. Record tympanictemperature. Removeand disposeused thermometer disposablecover. Inform the procedureis doneand thank the patient. Eager for more insight? explore the video! Arrangethosestepsaccordingly.
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