Peggy is been seen for a routine annual exam. She has type 2 diabetes and a history of unilateral mastectomy of her left breadt. She notes no other health problems. After washing his hands John identifies the patient and explains the procedures. He palates the brachial pulse in both arms and determines the left arm has the strongest rhythm. After determining the correct cuff size one inch above the crease of the elbow. John instructs Peggy to relax as he supports her arm at heart level and listen with the stheoscope on the brachial artery. After closing the valve John inflates the cuff to 30mmHg above the patient's baseline systolicpressure. He then opens the valve slightly and deflates at a rate of 2mm per second while listening carefully for the heartbeat. John then records the reading

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