Comprehensive Blood Pressure Log

Name: Date Begun: _____/ _____/ _____ Date Transcribed: _____/ _____/ _____

Type Cuff Wrist Right 1. First Visit: Record BP when you arise, at lunch, dinner, and at bedtime.
Arm Left 2. Follow-up visits: A. Record BP once a week between visits.
B. Two weeks before seeing MD, take BP twice a day, usually on arising and at bedtime.
Finger C. Take BP if you feel dizzy or weak, or whenever you think you should.
D. Bring your BP cuff with you whenever you visit the Doctor.

Arising Lunch Dinner Bed Arising Lunch Dinner Bed

Date P P P P Date P P P P
BP BP BP BP BP BP BP BP
1 16

2 17

3 18

4 19

5 20

6 21

7 22

8 23

9 24

10 25

11 26

12 27

13 28

14 29

15 30

Comments

BP Summary
SBP 205+ # < Goal
195
185 SBP Mode
175
165
DBP
155
145
135 Dip
125
115 Pulse
105
Total
95 Highest
< 95

DBP < 65 DP<65 Lowest

< 55