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When taking a patients blood pressure why is it important to notice the pressure on the manometer when you hear the fourth korotkoff sound or phase?

User Craika
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Final answer:

Noticing the pressure on the manometer at the fourth Korotkoff sound aids in accurately determining diastolic pressure, reflecting the minimum pressure in the arteries which is vital for assessing cardiovascular health.

Step-by-step explanation:

When measuring a patient's blood pressure, it is important to pay attention to the pressure on the manometer when the fourth Korotkoff sound or phase is heard. The first Korotkoff sound signifies the systolic pressure, which is the pressure in the arteries when the heart beats. The diastolic pressure, which is the pressure in the arteries when the heart is at rest, is indicated by the moment the sounds disappear, typically after the fifth Korotkoff sound. However, the fourth sound marks a distinct change in sound quality—often from a crisp tapping to a muffled thump—which can be an additional indicator of diastolic pressure, especially in some patients, such as pregnant women or those with certain cardiovascular conditions. Accurately determining diastolic pressure is crucial as it reflects the minimum pressure in the arteries and is a vital component of cardiovascular health.

User Marcin Wasilewski
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