Blood Pressure Log (Systolic/diastolic)
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1BLOOD PRESSURE LOG
Name:
My blood pressure target goal is: ____ / _____ mmHg
Date
Time
Blood Pressure
Heart rate
Comments
(systolic/diastolic)
(pulse)
EXAMPLE
29 Oct 2012
8:00pm
130/80
85
At doctor’s office
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Instructions:
Take your blood pressure at the same time(s) each day (e.g. morning or evening), or as recommended by
your health care team
Sit up with your back straight and supported and your feet flat on the floor
Support your arm on a flat surface with your upper arm at heart level
Seek medical attention as soon as possible if your blood pressure is higher than 180/110 mmHg
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Parent category: Medical