Blood Pressure Screening Example: Fill & Download for Free

I know this is an older post, but I wanted to share my experiences.I once had a patient present with testicular pain. His only medical conditions were diabetes and obesity. On examination, I found evidence of Fournier’s Gangrene (a pelvic infection). He walked in to the ER, seemed fully alert and vital signs only remarkable for tachycardia (fast heart rate), but not alarmingly so. I called Urology and General Surgery, the specialties that may deal with this type of infection. The Urologist wanted to take him to the OR, and while waiting for the Urologist to come and prep OR, patient quickly became hypotensive (low blood pressure) and obtunded (non responsive). I intubated the patient (put him on a breathing machine), started antibiotics, fluids and pressors (powerful drugs to increase blood pressure). Patient died while being transported to OR. Literally within an hour he had walked into the ER talking about his pain to then going into cardiac arrest and expiring.On another occasion, a middle age female came in by ambulance with complaints of abdominal pain. She quickly became hypotensive (low blood pressure) and slowly became unresponsive. Every test I ran was negative. Troponin and EKG were normal (heart tests). Arterial blood gas was normal (measures oxygen level and essentially lung function). Head CT was normal (means no brain bleed or herniation, does not rule out a stroke though but an unlikely presentation for stroke). CT angiogram of chest and abdomen was completely normal, ruling out aneurysm/dissection and virtually all serious abdominal issues. Urine drug screen was negative (only tests common drugs like opiates, barbiturates, amphetamine and THC). Labs were normal. No signs of infection in blood analysis and no fever. Patient’s blood pressure continued to lower despite maximum fluids and pressors. She quickly went into cardiac arrest and despite prolonged CPR died.This case from years ago stuck with me, because we usually have an idea of the problem. For example, I may realize it’s cardiac related even if I don’t know the exact problem. Or respiratory, or neurological (stroke/brain bleed, etc), or metabolic (diabetic problems DKA/HHS, electrolytes like high potassium or low sodium). In this case, we had NO IDEA of what was causing this woman to die. At bedside, I thought maybe an unusual toxic ingestion (poisoning or overdose). Later nursing told me she had a psychiatric history, which reinforced this idea. However, honestly no idea of exactly why she died.These cases have changed my practice in ER. I now try to quickly (but briefly) examine every patient for serious illness as soon as they arrive. In many cases this is brief, I have to deal with more urgent cases and come back later for a full history and workup. But just by putting eyes on them briefly I get an idea of how sick they are, I can return later for more thorough workup if not critical.

the thing about blood pressure is that one (or two) measurement doesn`t say much. it is so easily influenced by external factors (stress, anxiety, even food or tiredness) that small changes can happen to your measurement from a minute to the next even without changing your body position. so we are calculating the average of multiple measurements. the normal thing is for the blood pressure to drop by a few mm of mercury when standing up, more for the systolic than for the diastolic.This is NOT something you want to ignore (especially when it can be treated). If you’re struggling with blood pressure take a look at this: Blood Pressure Exercises VSL cbIf you have a few minutes this video is worth watching.If you prefer to read:hi my name is Christian Goodman in this short but controversial video I’m going to reveal how three easy exercises help drop high blood pressure below 120 over 80 starting today in fact these simple exercises take as little as nine minutes per day and they’re so easy that almost anyone can do them if you even walk from the living room to the kitchen you could benefit from these blood pressure exercises without breaking a sweat that means you can start lowering your blood pressure today wouldn’t you feel amazed if for the first nine years you saw your blood pressure numbers under 120 over 80 after doing just one easy exercise for just nine minutes this is by far the simplest easiest and most effective method I know to lower blood pressure without suffering the side effects of prescription medications the cause of your high blood pressure is actually irrelevant be it genetic high cholesterol stress or other factors the exercises you’re about to learn have helped and believe me I almost paid for this discovery with my life like you today I was a ticking time bomb my average blood pressure was 185 over 129 I should have been dead long ago I guess it was my healthy lifestyle that kept me alive I ate well worked out everyday and took time to relax but nothing seemed to help with my hypertension every day I monitored my blood pressure and every day my worries grew it wasn’t just my fear of dying like you I have a wonderful friends and family I worried about leaving my wife behind to take care of and support our children all alone without them I may have given up I’m so desperate that as much as I dislike taking medications I honestly considered that as a possibility and she can pay my doctor push me pretty hard to start drugs but I resisted and I’ll tell you why here are some of the shocking facts regarding blood pressure vacations I discovered according to a recent study conducted by the Wake Forest University School of Medicine calcium channel blockers are estimated to cause 85,000 unnecessary deaths every year and you’re 25% more likely to suffer a heart attack if you take these blood pressure medications than if you don’t not just from thousands of strokes and heart attacks the depths are also due to gastrointestinal bleeding kidney and liver damage plus weaker immune systems lead to all kinds of other diseases here is another example a study published in the respected Lancet Oncology revealed that many of the most frequently used blood pressure drugs seriously increases the risk of cancer and one more from around the world researchers at the University of Denmark reported that a significant portion of cholesterol lowering drug users over the age of 50 will suffer from nerve damage as a direct result of using these medications even the news agencies are beginning to open up a little USA Today reported recently that cardiovascular drugs have killed and injured more people than the government has acknowledged I could go on and on but I think you see the point so back to my story there I was my life flock was branded Li clicking away tick tock tick tock tick tock I was desperately fighting to save my life trying every natural solution I heard us but nothing seen get help you may think I’m exaggerating but according to the World Health Organization high blood pressure is the number one cause of death in the world more than cancer and more than any of the third world diseases it’s sometimes called the silent killer but I don’t agree with that at all my symptoms were obvious maybe you’ve recognized some of these symptoms yourself I was constantly feeling stressed and anxious this is a very common sign of high blood pressure because your arteries are literally succumbing to the pressure which puts your body in a crisis mode I had trouble sleeping sometimes I couldn’t fall asleep other times I woke up in the middle of the night and couldn’t doesn’t again this is another common symptom of high blood pressure very often I had chest pain and other body pains in fact many people have told me that after they lower their blood pressure using my exercises that chronic pain simply disappeared worst of all and this is a shameful one to admit high blood pressure was taxing my love life I thought this was just a part of Aging but it wasn’t up to 80% of men over 50 who have high blood pressure also suffers some level of erectile dysfunction because the arteries leading to the genitals are just as much affected as the arteries leading to other parts of the body after I got my blood pressure under control using the simple exercises I’m about to teach you all these aggravating health symptoms disappeared in fact I have more energy stamina and libido than I did in my 30s no wonder my wife is so happy in addition to the symptoms you experience on a daily basis high blood pressure has been linked to Alzheimer’s and some cancers that’s in addition to of course being the leading cause of death from stroke and heart attack according to research published in 1995 in the archives of internal medicine reducing blood pressure by only two points causes a 15% reduction in the risk of stroke imagine what 20 30 or even 50 points would do for you if you managed to lower your blood pressure naturally starting today now you’re probably thinking how exactly do these high blood pressure exercises work I’ll tell you in a minute but first for you to understand this exactly here’s an important side story you may not get the connection to high blood pressure right away cut me a little slack and you’ll see this is in fact the key to lowering your blood pressure naturally you see I love horses one day I was watching a TV show about a great horse whisperer called Marty Roberts in front of thousands including the Queen of England he was demonstrating how he trains wild mustangs imagine those young stallions straight from the mountains they had never seen cars or human beings in their lives exposed it to this everything in their blood and genes screams anxiety and fear a wild horses heart rate and blood pressure have been sky high since he was taken away from the mountains fascinated I witness now in less than 10 minutes Monty totally shifted the awareness of the tense anxious animal the effects were amazing the horse completely calm down his heart rate slowed down he became totally focused and relaxed and his blood pressure dropped to normal all in less time that it takes to make a pot of tea I wouldn’t have believed it unless I saw it with my own eyes something had obviously transformed into a movie it was a changed horse this immediately got me thinking could this technique be changed to suit humans instead of horses could I use this technique to lower my own blood pressure it was far fetched but worth a trying after all I had nothing to lose and everything to gain with my experiences natural health researcher I had a clear idea how to do it and I started working on it right away at the end of the day I began testing my exercises for the next two weeks I changed and improved them two weeks later I checked my blood pressure it was late August Sunday afternoon a day I’ll always remember I couldn’t believe my own eyes as I read 119 over 76 that’s solidly below 120 80 which is considered a holy blood pressure my wife was even happier than I she broke into a cry of relief I never realized how worried she had been about me and how deeply she loves me till that day our kids came running into the living room what’s going on and for the longest time we all held each other laughing and crying daddy was back to stay for a few weeks my son Trisha rocked a little up and down however it was never as high as before and four years now it’s been totally normal since then I’ve developed at this technique into three simple exercises that in almost all cases drastically drops high blood pressure in only a few short days this technique has been proven effective by thousands of clients possibly saving hundreds of lives their high blood pressure was caused by various things including genetic causes high cholesterol stress and anxiety and endless other things it doesn’t matter what the main causes the exercises have helped many of my clients had much higher blood pressure but I did and were on medications for years before they tried my high blood pressure exercises it worked just as well for them here are just a few examples of people who succeeded with the exercises I tried all the audios yesterday I did not even go walking but chose to tap the knees instead does the audio set I checked my blood pressure before starting 180 over 115 afterwards after all three audios I checked again 150 over 90 amazing after only one session no one else seems to deal with the underlying issues causing hypertension it seems as we age I am 56 we have no way to release this tension without something like you offer from Joseph Ludvigsen Carbondale Illinois fantastic Joseph I downloaded the program at about 10: 00 p. m. I did the third exercise only once I slept three hours I began my day at about 11 a. m. I took my blood pressure the result 127 over 63 I just about fell off the chair I did not take my meds for pills I know my meds really well I took my BP again at 5 p. m. the results 132 over 75 no meds Wow I was so busy I did not do any of the other exercises it is 10: 30 p. m.my DB results 136 over 79 no meds I will do the third exercise again in 10 minutes and go to sleep tomorrow I will do all the exercises now this makes me determined to prove the MD wrong Daniel North Hills California amazing Daniel after just at doing one of the exercises my wife is a nurse and she was skeptical about your program now that my blood pressure is under control she has become a believer Ron Baker Greenville South Carolina I love that Ron don’t argue with anyone just show them in action I am delighted with the results with your blood pressure program I’ve dropped from around 146 over 92 today’s reading 122 over 74 Ken Brown excellent Utah good work can from borderline high blood pressure down to a healthy level I believe this is magic I got your program yesterday and already I feel better I go back to my doctor today she’ll be happy for me I really hope to get off this medicine the side effects will kill you I slept all night after doing the evening exercise thank you so much Jeanne mayor Washington DC isn’t that amazing now these frontrunners managed to cure their high blood pressure using nothing but simple easy exercises and as you saw some of them literally overnight now however you’re probably wondering what these exercises are and if they’ll work for you I’ll get to that in a second but first so you understand how the exercises work I have to explain what actually causes high blood pressure it’s probably not what you think first of all you have to realize that your high blood pressure didn’t just happen overnight it’s not like catching the flu your problem with high blood pressure actually began to develop long before your blood pressure numbers began to rise most doctors admitted that even if they know about some indicating factors most of the time they have a very little idea what initially causes high blood pressure to appear in the first place therefore it’s tough to find a solution you see everyone experiences rises in blood pressure from time to time that’s no one under stressful situations or while doing physical workouts but it only becomes a problem if your blood pressure stays high for a long period of time and doesn’t drop while resting when you are hypertensive your heart then constantly pumps blood with more force than your arteries can comfortably take therefore your arteries begin to harden like rusted water pipes your heart arterial walls tend to get cracks inside them when blood rushes through them with such a high pressure force cholesterol and other slime in the blood gather in these cracked scar tissues inside your arteries making them even narrower and harder this is how your arteries may look right now not a pretty sight right at this point a deadly cycle begins this less blood can now flow through your narrowed arteries your blood pressure increases to deliver enough blood through your narrow the arteries your heart begins to pump with increased force blowing your blood pressure up through the roof now your nervous system senses that your blood pressure is too high normally your body would deal with this problem by simply widening your arteries it’s very easy if they were soft and flexible but they’re not your arteries have been hardened and will not widen so easily the next thing your nervous system attempts to do is to make the kidneys excrete more sodium and water to decrease the volume of blood running through arteries less fluid less pressure visual accomplished not quite blood has specific functions blood delivers oxygen and nutrition to every single cell in your body a drop in blood volume means those cells that don’t get their nutrition and they send a deprivation message to the brain houston we have a problem imagine how ground control and the brain experiences this your heart is screaming I need to pump more blood faster your kidney scream the blood pressure is dangerously high drop the blood volume cells all over your body screen we’re hungry give us more blood and your nervous system reports our normal response to widen the arteries and transfer more blood with less blood pressure has been unsuccessful something is seriously wrong the part of your brain that controls all automatic responses has only one option it turns out serious messages to all parts of your body we’re now in crisis mode but the crisis mode actually makes things worse every cell in your body now goes into overdrive and gets ready to fight the danger with everything it has and the cells demand much more nutrition than normal to deal with the crisis actually raising your blood pressure your heart beats harder increasingly already high blood pressure and your kidneys don’t know what to do except maybe fail all this may be happening while you sit here relaxed reading these words unaware that you may be on the edge of a stroke or a heart attack right now right this minute everything I’ve explained there’s a well known fact in the medical field just ask your doctor the real problem begins when trying to control parts of this vicious cycle for example medications that increase it fluid releasing from the kidneys can temporarily lower blood pressure this however makes everything worse in the long haul because now your heart and cells are deprived of blood volume crisis mode again plus the side effects from the drugs always screw up something else in the process the only permanent solution for high blood pressure is for you to break this vicious cycle using the body mind exercises I learned that day from the horse whisperer I managed to give my system something I call a focus to break let me explain what I mean put yourself in a cartoon you walk into a meeting room with your heart kidneys brain and a representative from the cells they’re all fighting over how to deal with your hardened arteries and high blood pressure they all steam from rage and frustration now imagine if you as a great negotiator could persuade them all just to calm down sit back and relax do nothing for a few minutes this is what I call a focused break as you all sit there in a meeting room and calm your nerves the solution is obvious to everyone call off the crisis mode so the cells won’t demand as much blood slow down the heart rate to reduce the pressure on the arteries balance the excretion of sodium and water from the kidneys working calmly together your body will heal itself all it needs is the focused break for everyone to calm down synchronize and focus on the task on hand and as your blood pressure drops the arteries will soften again the vicious health cycle has been reversed and the risk of stroke or heart attack has dropped to almost zero it’s actually a little difficult to explain exactly how the exercises work in reality this is one of those things you have to experience to understand that’s why I want you to try the simple blood pressure exercises yourself today what I can tell you is that they take almost no effort you either sit down or work slowly around the room while performing those easy mind body exercises so it doesn’t matter what kind of physical shape you’re in you can do them the simple directions are on audio so all you have to do is follow along there is absolutely nothing to learn and you can begin benefitting immediately after receiving the program you also get a detailed written manual explaining exactly how to do the exercises and how they work so you can also experience the exercises and do them on your own without the audio portion all depends on what you prefer it doesn’t take long as little as nine minutes a day all three exercises take around 40 minutes but it’s enough to do only one or two of them plus they’re actually so pleasurable and fun that many people have told me they don’t feel they’re even working at anything if you manage to lower your blood pressure to a healthy level within a week we’re talking about little more than one hour total one hour of your time is worth maybe adding 30 good healthy years to your life isn’t it I’ve thought so just like the wild Sally my talked about before you’ll feel calm and focused after doing the exercises many clients tell me about this inner peace they’ve never experienced before what’s more important is what you do not feel since high blood pressure doesn’t always come with a lot of obvious symptoms you may not feel how this steam pot inside you calms down know how the vicious intensity cycle between your heart kidneys and brain is healed but you’ll be amazed when you check your blood pressure just imagine your doctors eyes popping out if he or she tested your blood pressure and it was down to normal he wouldn’t believe it here comes the best part if you naturally bring your blood pressure down to a healthy level you will not be sick for the rest of your life why because these medications only deal with the symptoms of high blood pressure once you’re on medications go usually on and for life using these simple exercises however you work on the underlying cause of high blood pressure just imagine having a peace of mind that only comes with knowing that you are healthy and strong and that you’ll live a long happy introductive life knowing that you’ll escape the very terrifying diseases that most people around you die or become disabled by stroke and heart attack now that you’ve realized these exercises are exactly what you need the next logical question is of course so how much do the exercises cost to be honest with you I worked a lot on this decision now formal I’m often asked why I charge for such important information in the first place one of the a good human and give it away for free the answer is that it creates commitment after I created these exercises I quickly realized that clients were much more committed to work on the program if they’ve invested a little bit in it you’ll simply value it more and look at the options you have monthly supplies of blood pressure medications run from tens to hundreds of dollars per month one specialist doctor should visit cost you an arm and a leg this can add to thousands of dollars per year not to mention the cost of surgery or a hospital stay if you suffer a stroke or heart attack even people with medical insurance sometimes end up bankrupt from hospital bills if their insurance company refuses to play or you could spend hours and hours researching healthy diets and lifestyles and try to follow them to a tee the exercises in this program are unique so you’re not going to find them anywhere else now I have a question for you how much would you be willing to pay for a guaranteed way to lower your blood pressure and you could be absolutely sure that you would never have to worry about the two major causes of death in the world heart attack and stroke ever again wouldn’t you want to alleviate the worries of those who love you they don’t want to lose you and you don’t want to lose them do you you can’t put a price on good health can you no matter what ups and downs people go through in life they always say at least we had good help why because the fact is good health is the most important thing in life so if you were completely guaranteed to bring your blood pressure under control and gain close to perfect health for decades to come you would give up almost anything willfully wouldn’t you because we don’t take it with us to the grave it’s no wonder that my advisors and investors tell me to charge no less than $300 please exercises you would pay a one time fee of $300 if you were absolutely sure it would eliminate your high blood pressure for good wouldn’t you that you can never be absolutely sure it can you no matter how good the solution is that’s why I thought my advisors and investors hard refusing to charge it so much I can’t have anyone take advantage of your desperate situation we finally settled on a one time charge of one hundred and fifty dollars that includes all three exercises on an audio plus a detailed written guide explaining exactly how to do the exercises most effectively to quickly lower your blood pressure you’ll also get full access to our support team if you ever have any questions whether it’s how to access the exercises or how to work them but today you will not even have to pay the fair price of one hundred and fifty dollars I’ve managed to fight my advisors and investors even harder and for a short period of time I can give you full lifetime access to the blood pressure program at a drastically reduced price that’s why today I’m giving you full lifetime access to the three blood pressure exercises and the written guide explaining the exercises in detail for only $49 that’s a whopping 66% discount but hurry because I don’t know how long I can hold my advisors and investors back they really think that the public will be better served by raising the price to one thousand fifty dollars or even three hundred that way we could spend more money on advertising and therefore spread the information about these powerful blood pressure exercises faster so please click the order button below now to secure your lifetime access to the blood pressure exercise program with a whopping sixty six percent discount but wait there is more one hundred percent money back guarantee that’s right order the exercises today experience the amazing drop in blood pressure for yourself monitor it for some time to make sure this is not just some fluke go for a physical test if you want to have your heart rate and blood pressure tested under stress in fact while doing the exercise program do anything and everything you want to make sure it delivers every single benefit I’ve listed in this video and permanently heals your high blood pressure and if at any point within eight weeks you are not absolutely thrilled with the results send us an email and my support team will refund your order within 24 hours no questions asked you don’t have to give us any explanation about why you want your money back send us an email as simply as refund please that’s all it takes you can even keep all the material and keep on working the exercises just to make the refund process easier and just to say thank you for trying so either the exercises will work to completely bring your blood pressure below 120 over 80 or you’ll end up paying nothing I know that some people could take advantage of this so be it the important thing is that you can begin lowering your blood pressure today without having this other Scientifics of blood pressure medications trying to follow a diet that is not humanly possible carrying yourself working out worrying about money why because right now you’re facing the biggest decision of your life and you have three clear churches choice one do nothing let your blood pressure triple inside of you until something gives it could be a month from now tomorrow or even today but having high blood pressure you will most likely eventually suffer either stroke or heart attack or both your clock is ticking tick tock tick tock tick tock every day you weight is a risk you take the only thing you know for sure is if you stick your head in the sand it’s going to blow up in your face please do something not for yourself do it for your family and friends because now there is something you can do choice to take medications you may already be taking some at least you’re considering it I’ve already shared numerous scientific studies proving that blood pressure medications may actually increase the risk of dying from stroke and heart attack instead of decreasing it and the side effects in fact cause several other problems making a bad situation worse but I don’t think I need to stress this point any further why because if you didn’t agree with me you wouldn’t be watching this video till the end would you you’d be like the majority of people popping your pills without a care that is till one day you realized these pills were useless or worse and the consequences of your inaction will be lethal fortunately there is choice 3 invest a few minutes right now to save your life remember I was there I was just as afraid and desperate as you are my spouse just as worried about me as yours is I found a solution and today I want to share it with you these simple exercises are so easy to practice and yet so effective that everyone who suffers high blood pressure can benefit from them including you and facing the choice of spending thousands of dollars over a few years for medications and doctors visits being hospitalized or died after suffering stroke or heart attack maybe next year maybe next month or maybe even today spending hours and hours trying out diets and lifestyle changes that may or may not help for sure they will not bring your blood pressure down to a healthy level and your clock is ticking you simply dulled out the time tick tock tick tock tick tock picking the right choice is easy click the order link below to begin working the blood pressure exercises within minutes and watch your blood pressure numbers drop as soon as today the ordering process is easy you’ll be taken to a secure order page that looks something like this we use the highest security third party technology possible to process your order immediately after completing your order you’ll be directed to the members area where you can download the three audio files and the written guide it will look like this you can then listen to the files on your computer put them on your audio player or bring them to a CD downloading the audio files is really simple and explained a step by step in the members area in fact since you could watch this video without problems you’ve proven that you can download and listen to the blood pressure exercises without a problem you’ll also receive an email with a link to the members area so no need to worry if you have any problems listening to the exercises the first time you can reach them as often as you want for as long as you live but if you’d rather have a CD mailed to you you can also order a physical CD in the members area for only $2.00 extra that’s just the manufacturing cost so there’s absolutely nothing stopping you now from clicking the order link below and begin lowering your blood pressure today here is what some satisfied members of the new world movement are saying Janice Mobley says thank you Christian for your reply and once again I cannot tell you how excited I am with the results of doing these exercises in more ways than just the blood pressure I am now sleeping much more soundly and my head is much more clear etc I came home from work however feeling tired from all the stress and sat down to do the exercises and thinking how I’d lay down and rest out it well afterward I was ready to go again I went out and finished painting one side of the house I had started on the weekend and looking forward to another good night’s sleep thank you so much Patrick Montgomery says I originally started your program to reduce my blood pressure and I’m amazed to have it drop from 180 over 84 to 140 over 80 all within one week many things and I do not hesitate recommending this program to others Bunton jabo says hi Christian Goodman I would like to say thank you very much for your best information about high blood pressure and your programs may God bless you and your family Randy Williams says Christian after performing just five exercises the program is working very well so far so it has given me the inspiration to try your other programs also so when you click the order button you’re really not getting just a guide program or a good deal what you’re really getting is your health and well being so an easy safe way to lower blood pressure without side effects the next step is yours you know how serious high blood pressure is it almost unavoidably leads to stroke heart attack kidney failure impotence blindness or hundreds of other serious diseases but it simply it will kill you every day you wait as I playing Russian roulette your clock is ticking minute by minute there is no time to waste you have friends and family you love them they love you and don’t leave them too soon the exercises are super simple anyone can practice them no matter what kind of physical condition they’re in so there is no excuse anymore click the order link below now to secure your 66 percent discount of the blood pressure exercise program my investors and advisors are pushing me very hard to raise the price so I frankly can’t promise you how long I can keep the price level low plus they’re not taking any risk since everything is 100% money back guaranteed no questions asked if the exercises don’t lower your blood pressure you end up paying nothing my support team is only an email away if you have any questions or if you want your money back I urge you to take action now clicking the order link below can literally save your life today it has worked for others it will work for you too or your money back here are just a few more examples of people who succeeded in saving their own lives using the blood pressure exercises Kristian Crandall says hello Christian I received a new blood pressure program thank you so much it works very well all the way through I am enjoying it very much this is the first thing that has brought down my blood pressure blessings Jerri shock says thank you so much I really am into the high blood pressure program I ordered and using it daily it is working praise the Lord and thanks for having it available joy Schaefer says I just wanted to let you know that I did just one day of the three exercises and I went from one 55 over 95 to a reading the very next day of 121 over 82 I’m so excited and I hope to be even lower by the end of the week I’ve been on am Lada pin and listen up real for months and I haven’t been able to get it lower than 135 over 90 George O’Neill says I cured my HBP in seven days using your system nothing else worked it’s amazing no more meds these people were in the exact shoes you’re in now they took action and brought their blood pressure down to a healthy level I had people from all over the world and from various ethnic groups succeed with these exercises both men and women from age 28 to 96 by ordering the program they also supported the cause that led you to discover this unique way to drop your blood pressure as well please pay it forward take the ball and run with it now by clicking the order button below and start lowering your blood pressure today it’s so simple and easy that you can try it out within 5 minutes of completing your order and I wouldn’t be surprised if you yours l will be emailing me your own testimonial tonight..

I'm not an ICU doctor or nurse, and, if you are then I'd suggest you stop reading now and ask an experienced colleague. I've spent a modicum of time in intensive care units but the following is really an "Idiot's Guide". And, by that, I mean it's written by an idiot. Don't be surprised if the comments section quickly fills with corrections by experts.Before getting to the monitor screen I'd like to highlight that despite the variety of numbers, colours and lines that litter this complicated monitor it is nothing but a piece of information. It provides information to a doctor or nurse that they combine with the patient's history and examination to guide diagnosis and management.The monitor is not a diagnostic test. You can't look at a screen and determine what is wrong with the patient. Often you can't tell whether something is wrong or not. The numbers could be very good, or very bad, depending on what is happening to the patient. For example, a septic patient with a high blood pressure is not as worrying as that same blood pressure in a stroke patient. For the same reasons, an alarm on one of these monitors could be nothing to worry about or a job for the emergency trolley. It all depends - and often is obvious by looking at the patient rather than the monitor.So ... the underlying message is that a layperson can't tell much from a ICU monitor without knowing a lot about the patient and what we want all the numbers to be. And this varies depending on the individual patient. Please don't pretend you can tell the ICU staff when something is wrong with your loved one simply by looking at the screen. They're pretty good at knowing when to panic.With those warnings out of the way, let's look at an ICU monitor screen. This one was the first to pop up on Google images. I know nothing about the patient.Let's read it like a book - from left to right. Top to bottom.The top left spiked lines are ECG/ EKG traces.These are two leads of a 12 lead electrocardiogram. You can choose which two leads, of the available 12, you want to look at. Nobody would try to gather too much information from this small panel - they'd use a full 12 lead ECG instead. However, by monitoring these couple of lines you can monitor the heart rate, spot cardiac arrhythmias and detect ischaemia (heart attacks).Which leads us to the top right of the monitor.The big "80" is the heart rate. It provides exactly the same information as your doctor counting the pulse in your wrist. It's how mant times the heart is beating per minute. Normal pulse is between 60 to 100 per minute. Too fast and too slow are bad - unless we want them to be slow or fast.The bar to the left of the "80" is a graphic of the pulse over the recent past. We can see a couple of spikes in the heart rate. Is this worthy of panic? Unlikely ... but it depends on what was happening at the time.The lower bar (labelled ST-II) is monitoring changes to the ST segment (the flat bit between the S wave and the T wave in the image below) of lead II (one of the 12 leads) of the ECG.If the ST segment deviates above or below baseline (the lines between the T wave and the next p wave) then it's usually bad. It's often a sign of cardiac ischaemia (the heart running out of oxygen) - which is bad.On the screen, the letters and numbers next to this bar, under the 80, is the current ST deviation of different leads. Lead I has ST elevation of 0.3mm. Lead aVR has ST depression of 0.4mm. Less than 1mm is less panicky than more than 1mm.The next section of the monitor deals with blood pressure. Actually, the red, yellow and pink (at the bottom) sections all deal with blood pressure. Blood carries oxygen to your brain and other vital organs. Maintaining oxygen to these important organs is a large part of critical care medicine. Therefore, monitoring blood pressure is an important job for this machine.Blood pressure is simply the pressure of blood pushing on the walls of an artery at two points in time. The first number (systolic) is the pressure exerted by blood against the artery walls when the heart pumps. The lower number (diastolic) is when the heart relaxes.The reason there are 3 different measurements of blood pressure is because the normal pressure is very different depending on which artery you are looking at. This monitor demonstrates this very nicely.When your GP pumps up that cuff around your arm they are obtaining an estimate of the pressure in your brachial artery. This same process is occuring in this patient - but the machine is pumping, deflating and measuring without human assistance. The results are recorded in the pink section.The most recent reading is 97/73mmHg. 79 represents the mean pressure. Note that at 1502 the blood pressure was 93/60. 3 minutes later it shot up to 161/125. Is that bad? Dunno. Maybe an attractive nurse walked past. Maybe someone stuck them with a needle. Maybe someone turned up their intravenous vasoconstrictor or gave them a bolus of fluids. Can't tell by looking at the monitor.The problem with those BP cuffs is that there's a lot of things that can affect their accuracy - like improper size, placement and movement. We can get a much better measurement of the pressure in your artery if we stick a probe into your artery (arterial line) and measure the pressure directly. This arterial blood pressure is the red section of the monitor. It's currently 119/79. The waves on the left are how the pressure is changing in real time - rising with each contraction of the heart and falling as it relaxes. The bars beside it are how the top and bottom pressures have varied over time.The final piece of the blood pressure puzzle is that the heart actually has two outputs. One half of the heart pumps blood to your brain, and the pulse in your wrist. The blood pressure in this system is the red and pink sections. However, the other half of the heart pumps blood to the lungs - to collect the all important oxygen.We can measure the pressure in the lung half of the system by inserting a special type of measuring instrument - a Swan-Ganz catheter.It may looked complicated but they're pretty simple to insert. You just ask an Intensive Care doctor to put one in for you. Usually there's some residents around eager to have a go.Once properly inserted, and lying somewhere around the heart, this instrument allows us to measure the pressure in the vessels pumping to the lungs (called pulmonary artery pressure or PAP). This is the yellow part of the screen and you can see the pressures are dramatically different compared to the other half of the system. This is good. The current PAP is 29/14. Again the waves are real time and the bars are the readings for the recent past.The final part of the screen exists because the lungs must supply the blood with oxygen. It's no good having lots of blood pumping around if it's not carrying oxygen on it. After all, that's the job of blood. So the light blue section deals with the oxygen content of the blood (SpO2) which is the light blue section. Most commonly it's measured using a probe on your finger or earlobe. On our monitor it's currently 97%. Normal is 95 to 100%. Unlike in sporting teams, you can't achieve 101%. Also, there are times when it's good for it to be less than 95%.The last line is the respiration rate - how many times per minute the person is breathing. This person is taking 40 breaths every 60 seconds. Again, the waves are current breathing and the bar is graph of the most recent results.And that's about it. Surrounding the screen will be a whole lot of buttons and dials to set the alarms and parameters. Don't let your kids play with these ... or the powerpoint connected to the ventilator.