1. position patients right arm so that it is horizontal at the level of midsternum.
2. locate brachial artery at about 2cm above the cubital fossa
3. select an appropriate sized cuff.
4. inflate the cuff 20-3-mmHg more than estimated systolic blood pressure. you can estimate systolic blood pressure by palpating the brachial or radial artery pulse and inflating the cuff until you can no longer feel it.
5. place the stethoscope over the brachial artery pulse.
6. reduce pressure in cuff at rate 2-3 mmHg
7. first consistent korotkov sounds indicate systolic pressure.
8. muffling and disappearance of the korotkov sound indicate diastolic blood pressure.
9. record blood pressure as the systolic reading over teh diastolic reading.
10. if blood pressure over than 140/90 indicate night take a second reading after giving patient rest one minute.
11. if patient has a history of postural hypotension, also record the standing blood pressure.
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