Theme |
Monitoring Technologies in Dialysis Therapy |
Title |
Blood pressure monitor ; indirect method |
Author |
Sayuri Yagi |
Department of Nursing, Maeda Insutitute of Renal Research |
Author |
Hiroyasu Yamamoto |
Department of Clinical Engineering, Maeda Insutitute of Renal Research |
Author |
Teiryo Maeda |
Department of Internal Medicine, Maeda Insutitute of Renal Research |
Author |
Fumiko Fukuuchi |
Department of Internal Medicine, Maeda Insutitute of Renal Research |
[ Summary ] |
Blood pressure (BP)is extremely variable, depending on the situation in response to intrinsic as well as extrintic factors, BP was classfied according to the patients situation. The categories were casual BP, home BP and ambulatory BP over a 24-hours period. The continued monitoring of these different types of BP provides important information. In the measurement method, auscultion of Kortokow sounds has been widely used. Recently, however, automatic sphygmomanometers using the vibration method have become quite popular. We have been using automatic sphygmomanometers connected to an intensive monitoring system for dialysis units and forty eight hours BP monitors. With these results, we evaluated water balance and the dry weight of dialysis patients, and considered the appropriate medication for hypertention and to prevent hypotention after dialysis. Forty eight hours monitoring is especially useful for dialysis patients, in whom the average BP of the second twenty four hours after the dialysis therapy is higher than that of the first twenty four hours after dialysis. Thus, an extended period of monitoring of BP in different situation is important for patients of dialysis treatment. |