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British Columbia Provincial Nursing Skin and Wound Committee Developed by the BC Provincial Nursing Skin and Wound Care Committee in collaboration with Wound Clinicians from: / Education Module Ankle
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How to fill out ankle bracheal index
How to fill out ankle brachial index:
01
Gather the necessary equipment, including a blood pressure cuff, a doppler ultrasound, and a handheld doppler device.
02
Ensure that the patient is in a comfortable position, such as lying flat on their back.
03
Locate the brachial artery in the upper arm using the doppler ultrasound and place the blood pressure cuff around the arm, just above the elbow.
04
Inflate the cuff to a pressure of 20 mmHg above the point where the pulse disappears.
05
Slowly deflate the cuff, listening through the doppler device for the return of the pulse in the brachial artery.
06
Once stable, record the systolic pressure as the point where the pulse first reappears.
07
Move on to measure the ankle blood pressure by using the doppler ultrasound to locate the dorsalis pedis or posterior tibial artery in the foot.
08
Place the blood pressure cuff around the ankle, just above the malleoli.
09
Inflate the cuff to a pressure of 20 mmHg above the point where the pulse disappears.
10
Slowly deflate the cuff, listening for the return of the pulse in the ankle artery.
11
Record the systolic pressure as the point where the pulse reappears.
12
Repeat the process for both ankles.
13
Calculate the ankle brachial index (ABI) by dividing the highest ankle systolic pressure by the highest brachial systolic pressure.
14
Interpret the ABI results according to established guidelines, which typically categorize values as normal (1.0-1.4), mildly abnormal (0.9-0.99), moderately abnormal (0.5-0.89), or severely abnormal (
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