Elsevier Logo

ThisisPatientEngagementcontent

WHAT HAPPENS WHEN YOUR PATIENT GOES HOME?

Learn more about our Patient Engagement products now! Turn your patients into active participants in their healthcare by giving them easy access to the same evidence-based information you trust – but delivered in an easy-to-understand format.

Apr.07.2021
 Form - Blood Pressure Record Sheet

Blood Pressure Record Sheet

To take your blood pressure, you will need a blood pressure machine. You can buy a blood pressure machine (blood pressure monitor) at your clinic, drug store, or online. When choosing one, consider:
  • An automatic monitor that has an arm cuff.
  • A cuff that wraps snugly around your upper arm. You should be able to fit only one finger between your arm and the cuff.
  • A device that stores blood pressure reading results.
  • Do not choose a monitor that measures your blood pressure from your wrist or finger.
Follow your health care provider's instructions for how to take your blood pressure. To use this form:
  • Get one reading in the morning (a.m.) before you take any medicines.
  • Get one reading in the evening (p.m.) before supper.
  • Take at least 2 readings with each blood pressure check. This makes sure the results are correct. Wait 1–2 minutes between measurements.
  • Write down the results in the spaces on this form.
  • Repeat this once a week, or as told by your health care provider.
  • Make a follow-up appointment with your health care provider to discuss the results.

Blood pressure log

Date: _______________________
  • a.m. _____________________(1st reading) _____________________(2nd reading)
  • p.m. _____________________(1st reading) _____________________(2nd reading)
Date: _______________________
  • a.m. _____________________(1st reading) _____________________(2nd reading)
  • p.m. _____________________(1st reading) _____________________(2nd reading)
Date: _______________________
  • a.m. _____________________(1st reading) _____________________(2nd reading)
  • p.m. _____________________(1st reading) _____________________(2nd reading)
Date: _______________________
  • a.m. _____________________(1st reading) _____________________(2nd reading)
  • p.m. _____________________(1st reading) _____________________(2nd reading)
Date: _______________________
  • a.m. _____________________(1st reading) _____________________(2nd reading)
  • p.m. _____________________(1st reading) _____________________(2nd reading)

This information is not intended to replace advice given to you by your health care provider. Make sure you discuss any questions you have with your health care provider.

;