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Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
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15. Which is true about Tom’s blood pressure?
A.His blood pressure is normal when awake |
B.His blood pressure becomes normal as he sleeps |
C.His blood pressure is on the upper limits during the times that he works and lowers to the normal when asleep |
D.All of the statements describes Tom’s blood pressure. |
16. What can you say about Tom knowing his blood pressure?
A.He has a stressful day at work. |
B.His day is fun and full of surprises. |
C.His work depends on a hard manual labor. |
D.All of the choices may be true. |
17. What could happen during Harry’s sleep?
A.He will have a good rest and will wake up with vigor |
B.He might have a stroke anytime during his sleep. |
C.He will have a restless sleep. |
D.None of the situations given will happen. |
18. What can we conclude from learning about the blood pressure?
A.Blood pressure fluctuates naturally throughout the day. |
B.Blood pressure depends on the activity of the person. |
C.Blood pressure is determined by the person’s health. |
D.All of the statements above. |

Transcribed Image Text:Dipping into health
When blood pressure is measured over a 24-hour period, this is referred to as ambulatory blood
pressure monitoring, three patterns arise. Here are samples of three different individual.
Let's call them Dick (1), Tom (2) and Harry (3).
1
2
Patient's
BP
Paient's
BP
Pationt's
BP
190
13
Upper
limit
Uper
limit
Lpper
limit
124
II
Loner
limit
Loner
limit
Lower
limit
12
Time (hours after awakening)
Time (hours afler awakening)
Time (hours afer awakening
3.
(H ) rIOISAS

Transcribed Image Text:Dick and Tom – will both have been diagnosed with high blood pressure. Dick, REALLY has a problem.
Tom, NOT SỐ MUCH.
NOTE: He is likely taking blood pressure lowering meds, probably un-necessarily, they're costing a
fortune and putting him at risk of other health problems. Remember, drugs always have side effects.
What about Harry?
Masked hypertension
Well, if his doctor didn't do the ambulatory blood pressure monitoring, he would have been
slapped on the back, with a jolly well done, your blood pressure is NORMAL. But, it's NOT. This guy is in
T-R-O-U-B-L-E. Serious TROUBLE! More and more scientific studies, show the risk from high blood
pressure, is coming when blood pressure is high, when you're "sleeping".
You want to be a dipper
Unfortunately, to know whether you are or not, will require more than the blood pressure reading
taken at home or in your doctor's office. You need to be strapped up to a device that can monitor your
blood pressure over a 24-hour period and then report on your blood pressure, in the middle of the night.
The technology does exist. And using it to diagnose high blood pressure, is actually recommended by
most health authorities, but it's not always done.
It's expensive and inconvenient, etc.
But, if you're worried about cardiovascular disease, your asleep blood pressure, is the reading that
REALLY matters. And if this reading is high, this is the number you should be working to improve.
Asleep blood pressure is the target
So how do you do this? Well, it probably doesn't take a rocket scientist to figure out, if you want your
blood pressure to be low at night, you need to be doing what you can, to keep your body's clock in sync
with the sun. Sleep, exposure to light and the timing of your meals, are just some of the leavers you can
pull, to improve your circadian rhythm. If you are taking blood pressure lowering meds, you want to take
them, so they do their thing, at night, because this is the time, you need them.
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