Proper Blood Pressure Cuff Sizes Cuff Size Arm Circumference (cm) Bladder Dimension (width x length, cm) Abbreviation: cm: centimeter Take the proper measurements needed for diagnosis and treatment of elevated blood pressure/hypertension At the first visit, record blood pressure in both arms; use the arm that gives the higher reading for subsequent readings (if consistently 10-15 mm Hg higher) Separate repeated measurements by at least 30 seconds Properly document accurate blood pressure readings Record SBP and DBP Note the time that the most recent blood pressure medication was taken before measurements Use average the readings Use an average of 2 readings for the visit blood pressure For initial documentation of the patient s blood pressure, use an average of the visit blood pressures obtained on 2 occasions to estimate the individual s blood pressure Provide blood pressure readings to patient Provide patients their SBP/DBP readings both verbally and in writing; someone should help the patient interpret the results What is above should be common to each appropriate standardized office blood pressure measurement technique. The following are additional guidance specific for each technique: For fully automated office oscillometric manometer readings: Preprogram the manometer to wait five minutes before inflation begins and to take and average 2-3 readings at least 30 seconds apart; the most common intervals are 30 seconds, one minute, and two minutes Position the patient and place the proper sized cuff on the upper arm before initiating the wait time and blood pressure readings Turn the manometer on and set controls to take inflate to proper level (above sensed SBP) automatically and measure and average multiple readings; press the button to initiate wait period and automated readings (fully automated) Patient should remain quiet and not use electronic devices (e.g.