Vital Signs: Blood Pressure

PRACTICE!
*Put arm @ heart level(rest/elevate on pillow etc, if needed)
*After beginning deflation, the 1st of more than 1 thump is top (systolic) #. 
200 is a good starting point for an older person, BUT the cuff should be
pumped to 20-30 mm Hg above a typical higher systolic B/P for that 
particular person. Lots of Practice with a partner will make perfect!
  Always refer to NA handbook for exact details.