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utilizing a stethoscope and sphygmomanometer (s g-moh-muh-NAHM-uhter) A sphygmomanometer is literally an instrument used to measure (-meter) the throbbing pulse (sphygmo) at certain intervals (mano) To be sure, one does hear a dull throbbing sensation when the bell of a stethoscope is placed over the brachial artery and the arm cu of a sphygmomanometer device is in ated around it The sphygmomanometer is usually marked o in units of millimeters of mercury, abbreviated as mmHg (Hg is the chemical symbol for the element, mercury) As the air is slowly let out of the in ated arm cu , the rst dull throbbing noise one hears through the stethoscope is called the systolic (sis-TAHL-ik) blood pressure, or SBP The systolic blood pressure (SBP) is the pressure created by the systole (contracting and emptying phase) of the left ventricle of the heart A slug of blood is pushed out of the left ventricle with its contraction Flowing progressively down a BP gradient, this slug of blood nally enters the brachial artery The blood bulges out the artery somewhat as it passes through it, thereby creating a thumping sound For a resting adult, the systolic blood pressure (SBP) is usually recorded as about 120 mmHg The diastolic (DIE-ah-stahl-ik) blood pressure, or DBP, is the blood pressure associated with the diastole (relaxing and lling) phase of the left ventricle Upon thoughtful re ection, you might well ask, Why isn t the diastolic BP just 0 mmHg Isn t diastole the resting and lling phase, when the ventricle isn t even contracting or creating any blood pressure So, why should there even be any diastolic BP, at all Good question! Glance back at Figure 164 Note that the brachial artery bulges out with the force of the systolic BP against its walls Now, when the ventricle stops contracting, and diastole begins, there is a powerful elastic recoil, or snapping back force, created by the stretched brachial artery wall coming back to its non-stretched shape This force of elastic recoil or snapping back of the stretched brachial artery wall is what creates the diastolic BP The diastolic blood pressure is, then, in a sense, a residual or left-over blood pressure, the force of blood pressure temporarily stored in the bulged-out walls of the brachial artery during systole Because it is a residual BP, the diastolic BP is normally signi cantly lower than the systolic BP It averages about 80 mmHg in a resting adult The stethoscope and sphygmomanometer measure a resting adult s blood pressure as about 120/80 mmHg The SBP is 120, the DBP is 80 The diastolic BP is usually recorded as the level of blood pressure where the dull thumping sound heard through the stethoscope just disappears [Study suggestion: Ask yourself, Why does the thumping sound disappear just below the recorded level of the diastolic BP Hint: Think about what is happening to the wall of the brachial artery]. excel barcode add in Most Popular Free Barcode Generator Software Excel - TALtech ...
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Print barcodes with Access, Excel , Word, InfoPath. ... Word and Excel we recommend the TBarCode Office barcode add-in ! ... Microsoft Excel 2007 -2019, 365. We have been talking about the normal blood pressure, which has an average or set-point level of about 120/80 mmHg The normal BP can rise to an upper limit of about 140/90 mmHg And it can fall down to a lower limit of about 100/60 mmHg The distance between these upper and lower normal readings creates the normal range for blood pressure, a condition that can technically be called normotension (NOR-moh-TEN-shun) We use this term because blood pressure represents the amount of tension exerted against the blood Figure 165 (A) illustrates a state of normotension: that is, a state of relative constancy or homeostasis of blood pressure within its normal range Unfortunately, however, blood pressure doesn t always remain within its normal range Say that a lumberjack accidentally cuts his brachial artery with a chainsaw while felling a large oak tree The blood spurts out in hot red jets, resulting in a severe and possibly fatal hemorrhage (HEM-uh-rij) a bursting out (-orrhage) of blood (hem) When so much blood is lost, there isn t much blood left to press against the arterial wall Thus, blood pressure steeply declines It may even reach a state of hypotension (HIGH-pohTEN-shun) Hypotension is a condition of below normal or de cient (hypo-) blood pressure (tens) Speci cally, hypotension is a blood pressure signi cantly less than 100/60 mmHg (Figure 165, B) At the opposite extreme lies hypertension (HIGH-per-TEN-shun) an excessive or above normal (hyper-) blood pressure Hypertension is a blood pressure signi cantly above the upper normal limit of approximately 140/90 mmHg (Figure 165, C) So what if a person has hypotension or hypertension a skeptic might inquire With hypotension, the person may easily faint And if the condition is severe, there may be circulatory shock or coma, due to a lack of blood pressure pushing blood up to feed the brain In the case of hypertension, the chronically above-normal pressure may overstretch and thin out the walls of arteries, creating aneurysms (AN-yuh-riz-ums) Aneurysms are abnormally widened up arteries, which are highly susceptible to being ruptured And when an aneurysm ruptures, there may be a large amount of internal bleeding Persons su ering a stroke, or cerebrovascular (seh-REE-broh-VAS-kyoolar) accident, for instance, may well have experienced a ruptured aneurysm of their cerebral blood vessels covering the brain Whatever particular body functions the oxygen-and-blood-deprived brain area carried out, are then partially or totally lost. excel 2007 barcode generator free How to generate a barcode in Excel | Sage Intelligence
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