*Put arm @ heart level(rest/elevate on pillow etc, if needed) *After beginning deflation, the 1st of more than 1 thump is the 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. ⇒ HEADMASTER CA NA CANDIDATE HANDBOOK