Blood Pressure Tracking Sheet
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1Blood Pressure Tracking Sheet
Use this sheet to keep track of your blood pressure measurements at home using a home blood pressure device (you can
purchase one at your local pharmacy). Discuss the informa on on this sheet with your healthcare provider at each visit.
Your goal blood pressure top number: ________
Call your healthcare provider if: Top number is greater than _________
Your goal blood pressure bottom number: ________
Bottom number is greater than _______
Date
Time
Top Number
Bottom Number
Notes
10/18/2014
8:15 AM
135
85
Felt Dizzy
10/18/2014
8:20 AM
132
85
Fine
Tips for Checking Your
Blood Pressure at Home
Before Checking...
1. Check your blood pressure 2
times per day around the
same time every day.
2. Do not exercise, smoke, or
drink caffeine for at least 30
minutes before checking
your blood pressure.
3. Rest at least 5 minutes
before checking your blood
pressure.
4. Roll‐up your sleeve so your
clothing is not in the way of
the arm cuff.
While Checking...
1. Use the same arm each time
(whichever arm gives the
highest pressure).
2. Keep both feet flat on the
floor.
3. Sit up straight and keep your
back supported.
4. Remain silent while
measuring blood pressure.
5. Keep your arm held straight
at mid‐chest level.
Controlling your Blood Pressure is a check away
212.696.9099
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Parent category: Medical