"Home Blood Pressure Diary - British Hypertension Society" - United Kingdom

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Download "Home Blood Pressure Diary - British Hypertension Society" - United Kingdom

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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
87
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
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
87
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 Continued…
Name:
DOB:
……………………………………………………………
………………………................
Patient/Hospital number
:
(if appropriate)
………………………………………………………............................
Date
Time
Systolic BP
Diastolic BP
Notes
(top number)
(bottom
(e.g. medication changes, feeling
number)
unwell)
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
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