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Manual, or aneroid, equipment includes a cuff, an attached pump, a stethoscope and a gauge. This equipment requires coordination. It's difficult to use if you're Knowing one's blood pressure is the first step to preventing heart disease. The cost of an inexpensive manual blood pressure monitor is $16.99 at the local Nurses should regularly undertake manual BP measurement to ensure they remain Rushton M, Smith J (2015) How to measure blood pressure manually.Learning how to take your blood pressure manually may take a high or low blood pressure, you may want to invest in a manual blood pressure kit for home use. . After several minutes, follow the same steps to take another measurement. The following steps provide an overview of how to take your left arm blood pressure on either a manual or digital blood pressure monitor. Simply reverse the Procedures. To begin blood pressure measurement, use a properly sized blood pressure cuff. Wrap the cuff around the upper arm with the cuff's lower edge one inch above the antecubital fossa. Lightly press the stethoscope's bell over the brachial artery just below the cuff's edge. Rapidly inflate the cuff to 180mmHg. 10 Jul 2015 27 Jul 2009 10 Steps to Accurate Manual Blood Pressure Measurement. Step 1 - Choose the right equipment: Step 2 - Prepare the patient: Make sure the patient is relaxed by allowing 5 minutes to relax before the first reading. Step 3 - Choose the proper BP cuff size: Most measurement errors occur by not taking the time to choose the Procedure for Determining Blood Pressure with a Manual Device. Prepare the Patient. Explain to your patient that you will be taking their blood pressure. Apply the Cuff. Locate the Radial Pulse. Inflate the Cuff. Position the Stethoscope End Piece. Deflate the Cuff Gradually. Repeat for Confirmation When There is a Nurses use the manual method of taking blood pressure when they want to receive an accurate reading. Steps on How to Take a Blood Pressure Manually.