Home Blood Pressure Diary printable pdf download

Home Blood Pressure Diary

Average BP

(excluding BP readings from

the first day where

Name: ……………………………

DOB: ………………………

appropriate)

: …………………………

Patient/Hospital number

(if appropriate)

: lower than ……… / ……….

Target Blood Pressure

(if appropriate)

Arm used: Left 

Right 

Make/Model of monitor used: …………….Size of cuff: Small  Medium  Large 

Please monitor and record your blood pressure at home for 7 consecutive days (unless you have

been advised otherwise). On each day, monitor your blood pressure on two occasions- in the

morning (between 6am and 12noon) and again in the evening (between 6pm and midnight). On

each occasion take a minimum of two readings, leaving at least a minute between each. If the first

two readings are very different, take 2 or 3 further readings.

Use the table below to record all of your blood pressure readings. The numbers you write down

should be the same as those that appear on the monitor screen- do not round the numbers up or

down. In the comments section, you should also write down anything that could have affected your

reading, such as feeling unwell or changes in your medication. You do not need to record your

pulse/heart rate. For information about taking your blood pressure, please read the ‘Home Blood

Pressure Monitoring Explained’ leaflet. Remember to take this diary with you to your next

appointment/review.

Date

Time

Systolic BP

Diastolic BP

Notes

(top number)

(bottom

(e.g. medication changes, feeling

number)

unwell)

e.g. 7/10/2013

9:36am

142

Felt a bit dizzy when I woke up

This resource is a joint production of the NIHR Collaboration for Leadership in Applied Health

Research and Care (CLAHRC) Greater Manchester and the British Hypertension Society

Home Blood Pressure Diary