Question about Hamilton Beach HealthSmart Rx Digital Wrist BP Monitor w/ Dual Memory

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Wide variability in readings taken within a ten-minute span on same patient. From 122/95 to 104/55 same patient, different arms. Patient being monitored for hypotension.

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Time between readings must be enough to allow circulation in the arm reaches steady state again, or else if readings are close to each other, each subsequent reading is lower than preceding ones due to previous pressing the arteries and limiting blood circulation. 5 min is good enough time between readings and averaging. Massage the arm before next reading.

Posted on Sep 07, 2009

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I am sure this is a concerning matter. every patient is different, it would be best that a qulified doctor checks the man to ensure he is ok, as well as blood pressure, blood condition and other details would need to be taken. phone a doctor, health center or hospital for best advice.

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Heavy patient or one with high nibp. Kortchoff souns are faint in obese or high end persons.. Good place to begin.

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My first question is how do you know it's not accurate? I would tee in a digital manometer (measure in mmHg), wrap the cuff around a glass bottle and let the cuff inflate. When it fully inflates the cuff...look at the readings between the monitor and your manometer. If they are within a few digits of one another, I would leave it alone.

Inaccuracies with patient nibp readings are usually related to improper cuff placement on the patient. There's usually a mark on the cuff to indicate where the cuff should be placed in relation to the brachial artery. I believe this unit utilizes oscillatory technology to determine readings and an improperly placed cuff can create inaccurate readings.

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E reading on monitor I have lost bookletr


1. Error on the display usually means the pressure could not be read. 2. Set reader to OFF 3. Disconnect the cuff and ensure all air is our. 4. Put the cuff snugly on the arm of the patient (try patient with a different arm circumference as a check. Cuffs have a limited range and come in different sizes) 5. Pressure up ensuring your reach a pressure at least 50 mm Hg above the expected Diastolic blood pressure. 6. Let the machine bleed of while recording the pressures.
Manuals for a variety of devices may be found at www.retrevo.com. If exact model cannot be found a similar device's manual may still be useful.

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I take 4 consecutive readings (within a minute) and get 4 widely varying readings. How do I get an accurate reading with this device?


4 consecutive readings in a minute? No wonder you're getting widely varying readings. Your wrist or arm is not having time to recover from the constriction of the cuff. Try doing only two and waiting at least 30 to 40 seconds in between.

The best way to do it, is take one reading in your left arm and the other in your right arm. If they match or are within a few points of each other, the cuff is probably accurate.

Also, on your next visit to your doctor, take your cuff with you. After they take your vital signs at the doctors office, properly apply your cuff and compare your cuff's reading with theirs. If they are within a few points of each other that's fine.

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I had this problem when I replaced the battery. The code is actually located inside your glove box. You have to look pretty carefully but its a 4 or 5 digit code. You enter it into the radio and wala!:) works again. Some models have to code in different local's you can google your car and find where to code is located. It took a minute to find online but be patient.:) Some one else has had the same problem. thats just for the radio. Ive heard that if turn your ignition to the second slot the one right before the car starts and leave it there until the check engine/oil light goes off. Do it ten times or so and it supposedly resets everything. Good luck!

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