Mayo Clinic Minute: Rattlesnakes, scorpions and other desert dangers. Normal blood pressure at home is lower than that in the clinic. menu. Headaches: Treatment depends on your diagnosis and symptoms. McKesson Brand #1992. Tycos Large Adult Size Tr-1 Blood Pressure Monitor 5098-28 CB. All Rights Reserved. Deflation rates greater than 2 mm Hg per second can cause the systolic pressure to appear lower and the diastolic pressure to appear higher. Joseph T. Flynn, David C. Kaelber, Carissa M. Baker-Smith, Douglas Blowey, Aaron E. Carroll, Stephen R. Daniels, Sarah D. de Ferranti, Janis M. Dionne, Bonita Falkner, Susan K. Flinn, Samuel S. Gidding, Celeste Goodwin, Michael G. Leu, Makia E. Powers, Corinna Rea, Joshua Samuels, Madeline Simasek, Vidhu V. Thaker, Elaine M. Urbina, SUBCOMMITTEE ON SCREENING AND MANAGEMENT OF HIGH BLOOD PRESSURE IN CHILDREN Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Significant increases in blood pressure, on the other hand, are not normal and should be monitored and shared with your health care provider. It can be accessed online athttp://hyper.ahajournals.org/cgi/content/full/45/1/142. To obtain an accurate blood pressure (BP) measurement, use the proper cuff size for the patient. and get free shipping at $35. An average of these blood pressure readings should give your "true" blood pressure for that visit. Primary hypertension is more common in older children and teens and is commonly related to obesity or to a family history of hypertension. Trimline Two Piece Reusable Blood Pressure Cuffs. Nominations are open Jan. 30 through March 6, 2023. Mayo Clinic does not endorse any of the third party products and services advertised. Discover more about the small businesses partnering with Amazon and Amazons commitment to empowering them. Vegetarian diet: Can it help me control my diabetes? Site Search. Hypertensive crisis: What are the symptoms? Blood pressure: Is it affected by cold weather? A. da Silva, Z. Cai, S. Lin, J. H. Dubinion and J . This recording represents how high the mercury column is raised by the pressure of the blood. If trauma, hypoxia, stroke, or any other form of injury affects this area, changes in respiratory function may occur. Make sure your child has their blood pressure checked as often as recommended by your childs doctor. Careful not to cause trauma to nasal mucosa (results in bleeding). Put both feet flat on the ground and keep your legs uncrossed. Configurations. Add to List. The prevalence of hypertension and obesity in children age 8 to 17 has increased in all racial and ethnic groups since 2002. Place defibrillator on patient for possible electrical therapy. Confirm correct placement of the advanced airway device: Rescue breathing during CPR with an advanced airway: (needed for successful treatment of some patients)Consider reversible causes of rhythm/arrhythmia. Systolic Pressure is the blood pressure reading when your heart beats. Blood Pressure Measurement (Pediatric) - CE ALERT. Obesity is considered the primary risk for high blood pressure in children. Guidelines for in-clinic measurement are summarized in Table 2. Blood pressure by auscultation is the Gold Standard. * Preferred for Rapid Sequence Intubation (RSI), 50th precentile systolic blood pressure= 90 mmHg + (2 x age in years), 200 Hawkins Drive The first reading in a series is usually the highest. If the initial blood pressure is elevated, providers should take two additional measurements at the same visit and use the average value. Adenosine: 0.1 mg/kg IVP or IOP (6mg maximum dose), May repeat: Adenosine 0.2 mg/kg IVP or IOP, Amiodarone: 5 mg/kg IV or IO in 20 to 60 minutes, Procainamide: 15mg/kg IV or IO in 30 to 60 minutes. The blood pressure cuff is the element that wraps around either the upper arm, wrist or finger to measure blood pressure. All Rights Reserved. Three readings should be taken at intervals of one minute or longer, and the average of the three recorded. Wrist blood pressure monitors: Are they accurate? Child Size Cuff for patient monitor or mobile blood pressure monitor 13.1 - 23.5 cm/5 - 9.25 inches arm outline. FAQs. Calcs that help predict probability of a disease, Subcategory of 'Diagnosis' designed to be very sensitive, Disease is diagnosed: prognosticate to guide treatment. Premium Wireless Weight Scale; . Retraining of all health care professionals is strongly recommended by the AHA. Hypertension in children and adolescents is defined as systolic or diastolic pressure, or both, at or above the 95th percentile of distribution, using tables to determine normal and elevated levels. 236. Data from the device are downloaded into software and can be translated into a report. The American Heart Association is a qualified 501(c)(3) tax-exempt organization. As for gender, theres increasing evidence for risk of cardiovascular disease in women with blood pressures lower than what is considered normal, says Jennifer Wong, M.D., medical director of non-invasive cardiology at MemorialCare Heart and Vascular Institute at Orange Coast Medical Center in Fountain Valley, California. Pediatric blood pressure cuff size chart. Each time the heart beats, it pumps blood into the arteries, resulting in the highest blood pressure, the systolic pressure, as the heart contracts, and the lowest blood pressure, the diastolic pressure, as the heart relaxes. A common approach is to obtain 3 assessments from different days to more reliably measure blood pressure. Diabetes management: How lifestyle, daily routine affect blood sugar. Cuff Size: 22-42 cm (8.6-16.5") Memory: 60. Blood pressure should ideally be taken by auscultatory measurement after child has been seated for 3-5 minutes with back supported and legs uncrossed. When you are unable to open airway using head tilt-chin lift or jaw thrust maneuvers. Cuff bladder should encircle 80 percent or more of the patients arm circumference. in circumference. Small Cuff: Fits upper arms 7 to 9 in circumference. oxygenation saturation with pulse oximeter. Central line, arterial line may be indicated, Warm Shock (vasodilated, hypotensive): administer Norepinephrine 0.1-2 mcg/kg/minute and titrate to BP, Cold Shock (vasoconstricted, hypotensive): administer Epinephrine 0.1-1 mcg/kg/minute and titrate to BP, Continue administering Norepinephrine 0.1-2 mcg/kg/minute, titrate to BP, Consider administering Vasopressin 0.2-2 milliunits/kg/minute, Consider administering Milrinone loading dose of 50mcg/kg over 10-60 minutes and then o.25-0.75 mcg/kg/min, Consider administering Nitroprusside 0.3-1 mcg/kg/minute then titrate (maximum of 8 mcg/kg/minute), Consider administering Dobutamine 2-20 mcg/kg/minute, Continue administering Epinephrine 0.1-1 mcg/kg/minute and titrate to BP and end-organ perfusion, Consider administering Dobutamine 2-20 mcg/kg/minute and titrate, Consider administering Norepinephrine 0.1-2 mcg/kg/minute and titrate. In children, cuff bladder width should be at least 40 percent of the arm circumference halfway between the olecranon and acromion; the cuff should then cover 80 percent or more of the arm circumference. What are opioids and why are they dangerous? End-tidal CO2 should be verified during exhalation using monitor or ETD. BP-for-age status categories and their related percentile ranges are shown in the . MedEd series 1, Blood Pressure Measurement (Adult and Pediatric), High Diastolic Normal Systolic Blood Pressure, Why Does Blood Pressure Drop On Keto Diet, Blood Pressure 30 Points Higher At Doctor, Nhs Blood Pressure Chart By Age And Gender. In addition, faulty methods and the white coat effect (an increase in blood pressure when a physician is present) may lead to misdiagnosis of hypertension in normotensive patients. 3. 1. At the first visit, blood pressure should be measured in both arms, which may be useful for identifying coarctation of the aorta and upper-extremity arterial obstruction. Ambulatory monitoring may predict risk for morbidity more accurately than in-clinic blood pressure readings. Bradycardia is a common sign of advanced shock and is frequently associated with hypotension. You can take your blood pressure at home using a wrist blood pressure monitor or an upper arm cuff blood pressure monitor. Elmoselhi A, ed. PaCO2: 35-45 mmHg. The information on this page is intended for healthcare professionals only. Blood pressure is not always consistent, and can vary even when the child is resting. The normal values for blood pressure, pulse rate, and respiratory rate change as the newborn/infant/child grows and ages. OR1 underestimated both systolic and diastolic blood pressure by 5 to 6 mm Hg in the group with a wrist greater than 13.5 cm and by 8 to 9 mm Hg in the group with a smaller wrist. Fuster V, et al., eds. Isolated systolic hypertension: A health concern? These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients. 55 cm length tubing. closely for systolic pressure if the blood pressure cuff size is appropriate to the examinee's height and arm girth.:! Patients interested in self-monitoring should be instructed to sit in a comfortable chair for three to five minutes with the upper arm at heart level before taking a measurement, and should be reminded not to exercise or eat directly before the reading. In: Hurst's the Heart. 1. *** Central line preferred, but short duration peripheral IV acceptable, PICU/PEDS Calcium supplements: Do they interfere with blood pressure drugs? Visualization of the vocal cords is not required for insertion. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children . Trimline Disposable Blood Pressure Cuffs. Quick Overview. 211. They are both important health indicators, but they are measured independently and dont necessarily increase or decrease synchronously. The most common error in blood pressure measurement is use of inappropriate cuff size. Atropine: 0.02 mg/kg by IV or IO with a minimum single dose of 0.1mg and a maximum single dose of 0.5mg in a child (used for AV block and to increase vagal tone). In the first, we selected three brands of commonly used infant, child/pediatric, small adult, adult, and large adult BP cuffs. If you have difficulty forming a seal with the face mask. Be mindful to uncross your legs and ankles, as well as use comfortable support for your back. Blood Pressure Cuff McKesson LUMEON Adult Arm Medium Cuff 23 - 40 cm Nylon Cuff. High blood pressure and cold remedies: Which are safe? When inserting the LMA have the laryngeal cuff deflated. (Spout is excluded) Material: Nylon/Single-tube with bladder plan. Blood Pressure Charts for Children. information and will only use or disclose that information as set forth in our notice of If the patient requiring continued ventilatory support. This content does not have an Arabic version. If the adverse event of the patient was witnessed and there is no reason to suspect a cercival spine injury, the provider should use the head tilt-chin lift maneuver to open the airway.If there is a reason to suspect a cervical spine injury, if the patients adverse event went unwitnessed, if trauma occured, or the patient suffered drowning the jaw-thrust maneuver should be used to open the airway. Requires proper lead/pad placement to monitor ECG. If there is a consistent difference in measurement between the arms, the highest pressure should be recorded. These vital signs remain relatively constant throughout adult life. Accessed June 27, 2019. Some automated devices have been validated for use during pregnancy and may be useful as an alternative to mercury devices in the future. Anvisa. Decimal values recommended (e.g. Recommended Reading: How To Get Rid Of Blood Vessels On Face. $69.99 / ea. The contents posted are by experts or based on literature search. It is primarily directed at clinicians caring for children and adolescents in the outpatient setting. Yield a falsely low blood pressure b. Nondipping blood pressure that does not drop overnight Suspected autonomic neuropathy, Suspected overtreatment with resultant iatrogenic hypotension, Suspected white coat hypertension and discrepant readings between home and clinic. (Cease bolus at indication of fluid in lungs showing repiratory distress or rales. Children should not be diagnosed with hypertension without confirmation from repeated visits unless they are symptomatic or have profoundly elevated levels. Here you can prepare for your PALS certification exam and learn life saving interventions. Trimline Reusable Blood Pressure Cuffs. How to interpret BP chart in pediatric age group? Recognizing ongoing evidence gaps and the need for an updated, thorough review of the relevant literature, the American Academy of Pediatrics and its Council on Quality Improvement and Patient Safety developed this practice guideline to provide an update on topics relevant to the diagnosis, evaluation, and management of pediatric HTN. Implementation tools for this guideline are available on the AAP Web site . View Product. Because of the potential for incorrect reporting to the physician, the AHA recommends that devices with memory or printouts be used. submit search. Pediatric Blood Pressure Monitors. Prehypertension has increasing health risks and can progress to hypertension. do Carmo, J. M., A. . Previous Post: Techniques to measure a BP Visual check system by any one of three criteria: Bladder width at least 40-50% of the arm circumferenceBladder length at least 80-100% of the arm circumferenceCuff width 66-75% of the acromion-olecranon distance (UAL) Correct cuff size according to arm circumference PatientArm Circumference (cm)Cuff Size(cm)NewbornUp to 104 x 8Infant>10-156 Blood pressures vary depending on the age of your child, as well as according to height and weight, and the gender of your child. Select a Cuff Size Based on Arm Circumference. Measurements with automated devices typically are lower than those taken by a physician, perhaps because of the white coat effect; correct patient position and cuff selection still are required. True blood pressure is defined as the average level over a prolonged duration. Welch Allyn Blood Pressure Cuff FlexiPort Child/Adult Small Nylon . a. IV/IO: 0.10.3 ml/Kg Again, many factors, including emotions, can affect blood pressure. The ideal cuff bladder width is 40 percent of the patient's arm circumference. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Second, is there possible injury or trauma that would change the providers method of treating an obstructed airway or inefficient breathing. Sheps SG (expert opinion). This poster tells how to choose the right cuff, position it properly, and avoid common sources of BP monitoring error. The cuff should then be deflated at a rate of 2 to 3 mm Hg per second (or per pulse when the heart rate is slow). Mayo Clinic does not endorse companies or products. The tubing between the device and the cuff should be 27.5 inches (70 cm) or more in the office setting. Positive pressure ventilation is generally kept under 20 CmH2O to prevent inflation of the stomach.The patient is still at high risk of aspiration, even with an appropriately placed LMA. A summary of the AHA scientific statement follows. Log In to Order View Alternatives Compare Product 651787. 9.8. Used to treat unstable bradycardias not responding to drug therapy. GE is a trademark of General Electric Company. PEDIATRIC SIZE CUFF - Our blood pressure cuff is made of durable nylon and comfortably fits arms 7.2" - 10.5" (18.4 - 26.7cm) in circumference. You may opt-out of email communications at any time by clicking on Learn how your comment data is processed. Assure the artificial airway is the appropriate size for the patient. . Provide chest compressions with concurrent ventilation support. BP should be measured in the right arm of a relaxed, seated child. Everyone in the family will benefit from these healthy changes. A collection of Practice Guidelines published in AFP is available at https://www.aafp.org/afp/practguide. Wrap a tape measure around the patient's bicep, at mid-arm to determine the arm circumference (typically measured in cm). FREE delivery Thu, Mar 9 on $25 of items shipped by Amazon. How to tell if a loved one is abusing opioids. Bump on the head: When is it a serious head injury? With the unfortunate rising rates of childhood obesity, obtaining an accurate measurement has proven to be challenging due to an abnormally large arm circumference: Arm circumference can be large enough which requires the use of adult size BP cuff, NHANES data from 2007-2010 showed that boys and girls as young as 9 years of age required a standard adult-sized cuff. Ships Free With. Late-night eating: OK if you have diabetes? 2017 AHA/ACC adult hypertension guidelines. The medical facts are updated as per the date of posting, so the readers are expected to update themselves if referring to a very old post. The University of Iowa. Medications and supplements that can raise your blood pressure. Used to treat Atrial Fibrillation, Atrial Flutter, Atrial Tach, and Symptomatic VT. Systolic and diastolic blood pressures are preferred for use in hypertension classification, rather than arterial or pulse pressure. Upper Arm Blood Pressure Monitor. MDCalc loves calculator creators researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. Beta blockers: Do they cause weight gain? As a result, the new blood pressure values are lower than those used in prior guidelines and allow for a more precise classification of blood pressure according to body size. Part #: 520124. Diabetes diet: Should I avoid sweet fruits? Diagnoses hypertension in pediatric patients; official guideline of the American Academy of Pediatrics. Blood pressure monitors are an excellent at-home solution for staying on top of your health, especially if you have an underlying condition that requires regular blood pressure readings.We found that the best monitors offer accurate readings, are easy to use, and aren't complicated to fit around your arm. Ever Dixie USA Dixie EMS Pediatric Size Blood Pressure Cuff. One technique to avoid this is to estimate the systolic pressure by inflating the cuff while palpating the pulse, and then inflate the cuff to 30 mm Hg above the estimated level when the pressure is auscultated. *Many devices are sold with variable size cuffs that will fit a majority of arms from the small adult to large adult range. Blood pressure medication: Still necessary if I lose weight? Shop products from small business brands sold in Amazons store. Blood pressure medications: Can they raise my triglycerides? View all posts by Dr Swati Bhardwaj, Pediatric Nephrologist, Your email address will not be published. for a child who is 5 years and 6 months, enter 5.5), Normal values are age-dependent; do not use this calculator in patients with hypotension. Sign In {0} items in cart. The pop-up will identify the percentile line, followed by the age , then the value being graphed . The bladder length recommended by the AHA is 80 percent of the patients arm circumference, and the ideal width is at least 40 percent. The Omron Blood Pressure Monitor Upper Arm Children/Adult Kid Small Cuff 17-22cm CS2 is a high-quality cuff designed to fit children and small adults. If 1st Defibrillate unsuccessful: 2nd Defibrillate at 4j/kg, If 2nd Defibrillate unsuccessful: following Defibrillations at 4 j/kg, Give Epinephrine 1:10,000: 0.01 mg/kg by IV or IO (or give Epinephrine 1:1,000: 0.1 mg/kg by ET), Assess rhythm and possible cause (Most common cause is hypoxia), Treat possible causes with appropriate drug, electrolyte, and fluid therapy. It is important to be able to categorize your patients by their hemodynamic stability when choosing an appropriate treatment regimen. Intensified and daily hemodialysis . The authors conclude that the simplified BP chart can be used to quickly and accurately identify school-age children with hypertension and prehypertension, with low rates of false positives. Boys blood pressures are slightly higher than girls are, and taller people generally have higher blood pressures than short people do. If the patient is attempting spontaneous breaths without success, there may be noticeable effort of intercostal muscles, diaphram, or other accessory muscles without significant chest rise/expansion. information submitted for this request. Diabetes treatment: Can cinnamon lower blood sugar? BP-for-age status categories and their related percentile ranges are shown in the following table: Recommended Reading: What Is The Order Of Blood Flow. Medium (Model UA-280) - Fits upper arm sizes 9.4" to 14.2". High blood pressure is also called hypertension. https://www.heart.org/en/health-topics/high-blood-pressure/understanding-blood-pressure-readings/monitoring-your-blood-pressure-at-home. Thus, elevated BP readings should be repeated and confirmed over several visits before a child is identified as having hypertension. Modified with permission from Artemis Pediatric software 2012 eBroselow. http://hyper.ahajournals.org/cgi/content/full/45/1/142, www.abdn.ac.uk/medical/bhs/tutorial/tutorial.htm. (View the advanced airway section). If you have been diagnosed with high blood pressure , your doctor may recommend getting it checked more often. Laryngoscope Blade (size) 1 Straight: 1 Straight: 1 Straight: 2 Straight: 2 Straight: . Classifies blood pressure in pediatric patients, which varies based on age and gender. You may need to have your blood pressure taken several times during your visit using the same, properly sized cuff in the same arm. Your recently viewed items and featured recommendations, Care Touch Digital Wrist Blood Pressure Monitor - Blood Pressure Wrist Cuff Size 5.5" - 8.5" - Automatic High Blood Pressure Machine with Batteries and Carrying Case Included. Best for a wrist monitor: ReliOn BP300 Wrist Blood Pressure Monitor. Color: Black. menu. 6.3" - 9.4" (16 - 24 cm) Infographic: Transplant for Polycystic Kidney Disease. For an upper arm Omron blood pressure monitor with special features, you'll usually pay between $70 and $100. Used under trademark license, Accurate Blood Pressure Readings: Choosing the Right-size Cuff, DINAMAP SuperSTAT Algorithm: Setting Target Inflation Pressure, Improving Quality of Care: Justifying the Cost for a Single-Patient-Use Blood Pressure Cuff. Our survey revealed that 57% of practitioners would consider using a neonatal cuff for patients up to 1 month of age, 65% would use an infant cuff for those 1 year of age, 49% would use a child/pediatric cuff for those 5 years of age, and 84% would use a small adult cuff for those 10 years of age and older. The ideal cuff bladder width is 40 percent of the patient's arm circumference. The sensitivity of the simplified chart in identifying both SBP and DBP hypertension and prehypertension was 100%, with specificities of 94.7% and 95.4%, respectively, of SBP and DBP hypertension and 99.3% and 98.3%, respectively, for SBP and DBP prehypertension. 5.5 years), and the tables use simplified values to account for ages between . Normal Blood Pressure for Children; Systolic Diastolic; Newborns up to 1 month: 60-90 mm Hg 20-60 mm Hg: Infant: 87-105 mm Hg: 53-66 mm Hg: Toddler: 95-105 mm Hg: . Handcrafted since 1971. The history, physical examination, and cardiac auscultation. Clinical excellence. information is beneficial, we may combine your email and website usage information with According to the tables, if your child has a blood pressure that is higher than 90 to 95 percent of other boys or girls his or her age and height, then he or she may have high blood pressure. Vital signs cause patient to become symptomatic with chest pain, shortness of breath, or confusion. Advance the LMA till the cuff lies in the pharynx. For diastolic pressure, however, Blood Pressure Cuff FlexiPort Adult Arm Size 11 Cuff 25 - 34 cm Nylon Cuff. In the standard clinic procedure (mercury sphygmomanometer with the Korotkoff s sound technique), accurate measurement of blood pressure depends on the person doing the reading, or the observer. Proper training; use of an accurate, well-maintained device; correct selection and positioning of the cuff; appropriate positioning of the patient; and recognition of factors that may skew the measurement are critical. Arm circumference can be large enough which requires the use of adult size BP cuff; NHANES data from 2007-2010 showed that boys and girls as young as 9 years of age required a standard adult-sized cuff. Flynn, J.T et al. FlexiPort EcoCuff Single-Patient-Use Blood Pressure Cuffs. Effectively managing chronic kidney disease, Advertising and sponsorship opportunities. The ideal cuff bladder length is 80 percent of the patient s arm circumference. You May Like: Blood In Blood Out Full Movie Uncut. From . High blood pressure is considered a risk factor for heart disease and stroke, and high BP in childhood has been linked to high BP in adulthood. Copyright 2005 by the American Academy of Family Physicians. Compensated shock can be detected by evaluating the patient's heart rate . It is made from durable materials and features advanced technology to provide accurate readings of blood pressure and pulse rate. Set the pacer 10-20 beats per min above the patients intrinsic heart rate or 60 beats per min if there is no intrinsic heart rate. Blood pressure monitor and blood pressure cuff are two phrases often used to describe the same blood pressure measurement tool. Using the sizing chart below, determine what size cuff should be used based on the measurement reading. Choking Intervention for Adults & Children, Neonate (0 to 28 days old): SPB < 60 mmHg, Infants (1month to 12 montsh): SBP < 70 mmHg, Children (1yr to 10yrs): SBP < 70+(2xage in years) mmHg. Thus, in-clinic blood pressure measurement, which generally makes no allowance for beat-to-beat variability, can be a poor estimation and may fail to catch high blood pressure that occurs only outside the clinic setting. Decrease salt in your child's diet. The American Heart Association recommends a cuff bladder width of 40% of the arm circumference and a cuff bladder length of 80% of the arm circumference. FINANCIAL DISCLOSURE: The authors have indicated that they have no financial relationships relevant to this article to disclose. Make sure the blood pressure cuff is snug but not too tight. Traditional single-patient-use cuff solutions can be expensive, wasteful, and difficult to implement. See permissionsforcopyrightquestions and/or permission requests. Medium Cuff: Fits upper arms 9 to 13 in circumference. Another use is the identification of nondipping blood pressure (i.e., less than 10 percent reduction from daytime to nighttime pressure), which is thought to increase a patients risk for complications. (Drug therapy, Electrical therapy, Pacing, etc.). Dixie EMS Aneroid Sphygmomanometer Blood Pressure Cuff Pediatric Size, CONTEC Fully Automatic Blood Pressure Monitor Upper Arm Cuff 3 Mode 3 Cuffs Electronic Sphygmomanometer 300 Sets Memory, Small Blood Pressure Cuff, ELERA Replacement Small Cuff Applicable for 5.9-9.5 (15-24CM) Small Arm, Cuff Only BP Machine Not Included, Ever Ready First Aid Fully Automatic Blood Pressure Wrist Cuff Watch Wearable Monitor - Pink- Batteries Included, Cosmos Blood Pressure Monitor Replacement Cuff with Metal Air Hose Connector for Blood Pressure Monitor and Machine for 18-26 cm Upper Arm Circumference (Child Size), LotFancy Aneroid Sphygmomanometer, Professional Manual Blood Pressure Cuff, Pediatric BP Cuff 7.2"-10.5", with Zipper Case, Child&Small Cuff.
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