Pemeriksaan Tekanan Darah - Video OSCE | HMKU FK Unud

Summary

In this instructional video, Dr. Meda performs a blood pressure examination on a patient, demonstrating proper hygiene and equipment usage. The doctor explains each step of the process, from preparing the tools like a stethoscope and aneroid sphygmomanometer, to carefully measuring the patient's blood pressure. Throughout, the doctor emphasizes comfort and clarity, ensuring the patient is at ease. The results indicate a normal blood pressure of 120/80 mmHg, with advice on maintaining a healthy lifestyle. The video is both educational and reassuring for viewers seeking understanding of the process.

Takeaways

• 😀 The doctor introduces themselves and asks the patient, Pak Asep, the reason for their visit to the clinic.
• 😀 The doctor begins by sanitizing their hands using a six-step hand hygiene process to ensure cleanliness.
• 😀 The doctor checks the functionality of medical equipment, such as the stethoscope and sphygmomanometer (blood pressure cuff).
• 😀 The doctor explains that the blood pressure measurement may feel slightly uncomfortable, especially when adjusting the patient's clothing.
• 😀 The doctor carefully positions the blood pressure cuff above the patient's elbow, ensuring it is not too tight and aligned with the brachial artery.
• 😀 The doctor uses the palpation method to identify the systolic pressure, inflating the cuff until the brachial pulse disappears.
• 😀 After determining the systolic pressure via palpation, the doctor inflates the cuff further by 30 mm Hg to measure systolic and diastolic pressures with a stethoscope.
• 😀 The doctor listens carefully for the first Korotkoff sound to identify the systolic pressure and the last sound for the diastolic pressure.
• 😀 The final blood pressure reading for the patient is 120/80 mmHg, which is considered within the normal range.
• 😀 The doctor advises the patient to maintain a healthy lifestyle and diet to preserve normal blood pressure and prevent potential health issues.
• 😀 The doctor concludes the examination by thanking the patient and encouraging them to keep up with their health maintenance.

Q & A

What is the first step the doctor takes before performing any procedure?

The doctor begins by introducing themselves to the patient and ensuring proper hand hygiene by performing six steps of hand cleaning.

Why does the doctor ask the patient to raise their sleeve slightly during the blood pressure test?

The doctor needs to expose the patient's upper arm to properly place the blood pressure cuff and to apply pressure to measure blood pressure accurately.

What equipment does the doctor check before beginning the procedure?

The doctor checks that the stethoscope and aneroid sphygmomanometer (blood pressure cuff) are functioning properly.

What is the purpose of palpating the brachial artery during the procedure?

Palpating the brachial artery helps the doctor identify the point where they can measure the systolic blood pressure, ensuring accurate readings.

What does the doctor do after finding the systolic pressure with palpation?

After finding the systolic pressure using palpation, the doctor pumps the cuff to 30 mmHg above the palpated systolic pressure and then listens for the sounds with a stethoscope to measure both systolic and diastolic pressures.

How does the doctor determine the systolic pressure during the auscultation phase?

The doctor listens for the first clear pulse sound through the stethoscope, which marks the systolic pressure.

How does the doctor identify the diastolic pressure?

The doctor identifies the diastolic pressure by listening for the last sound heard through the stethoscope, which indicates the relaxation phase of the heart.

What were the blood pressure readings for the patient in this procedure?

The patient's blood pressure reading was 120/80 mmHg, which is considered a normal blood pressure range.

What advice does the doctor give the patient after the blood pressure check?

The doctor advises the patient to maintain a healthy lifestyle, including a balanced diet and regular physical activity, to ensure their blood pressure remains within the normal range.

How does the doctor ensure the accuracy of the procedure?

The doctor ensures accuracy by carefully positioning the cuff, using the correct technique for measuring, and verifying equipment functionality. Additionally, they perform the procedure slowly and methodically to ensure reliable readings.