RN with 17 years of experience here 👋🏽 to preface this I’m typing this at 1am after working a 16 hour shift so please disregard any typos and the highly informal and non scientific terminology. I believe in speaking in layman’s vernacular wholeheartedly…. ESPECIALLY when I’m not on the clock or wearing scrubs 😂) With experience in every kind of environment you can think of from Outpatient same day surgeries, to Psychiatric nursing to wound care, to 4 very different ICU Units including PICU ( pediatric intensive care units) to Operating rooms to pediatric operating theatres in a childrens hospital i worked at for 6 years ( honestly it was too heart breaking after awhile and I had to go. Once I became a parent myself I didn’t last another year there. It was too much mentally, spiritually, psychologically, etc) to a level 1 trauma unit where I’d have an average of 25-30 gunshot wound victims/ stab wound or other blunt force resume injuries not including MVAs (Motor vehicle accidents) I live in the NYC/ NJ tri state area. It matters because autonomic phenomena creates results that aren’t completely accurate to what your true blood pressure is. Femoral cuffs are typically used in the operating room setting or in settings where emergency traumas require surgeries on parts of the body that are injured. For instance, you typically would want to put a femoral cuff on the left thigh or lower if you suspect a clot but almost always above where you think one may be in the lower extremities as to not dislodge the clot. Also, you’ll see the cuff placed on lower extremities in the OR because you wouldn’t want to place a cuff on the same limb you have anesthesia or other vital medications going into the patient because it can disrupt their dosing and could possibly cause sedation to cease long enough for a patient to awaken during a procedure. Or you’ll have a situation where blood pressure controlling or heart attack preventative/ blood pressure controlling medications are used in an open heart surgery or other major organ surgery and it’s long enough to cause a disruption in steady rhythmic consistency in a compromised person who are high risk for negative outcomes. Also, with some bariatric patients you may have complications in even getting a accurate pressure reading under normal non O.R conditions. Such as getting an accurate read at a drs appointment or inpatient admission setting on a hospital floor. So you’ll find the place on their body with the least amount of tissue depth between their veins and the blood pressure cuff. Nowadays, you can get a more accurate reading from a ECG machine that shows heart function. Almost always someone with a high pressure will also have a high pulse and respiratory numbers may also be indicators of such. Another situation is someone who is on dialysis and has a port. You’d NEVER want to place a cuff on the same limb as that port for obvious reasons. Just like certain stroke or aneurysm patients, believe it or not cuff placement is critical when you’re dealing with certain conditions, peoples physical builds, etc

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I seen your comments on the other video lol looks like we both are worried about this.. did you ever get checked? It's called orthostatic hypertension.

Hey Halyna, to protect the work of our PACER Project presenters, we are not giving out PDFs at this time. You may go to the APTA Learning Center to take this course for free CEUs regardless of if you are a member of the APTA or not.