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I work over nights for a 93 yr old who had a blood clot removed after having Covid19.

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I am assuming this is a somewhat GOOD machine. Because many are not. Don't trust wrist and finger machines. If this has a good arm cuff and the machine is a good one then it needs to be checked with a regular cuff. If this person has a visit from medical personnel with their equipment then you take the blood pressure right after they do. The numbers should be "close". The equipment will have instructions. Follow them. In general, with a decent machine, you should get a decent reading withe the patient lying flat. When you raise the head you have changed blood flow. Your reading may be lower. If the person has orthostatic hypotension it may be a good deal lower.
So of importance the quality of the cuff. Then that it is titrated with one in medical office of visiting medical personnel to make certain it works well on this patient. Then to use it as the directions state. If the directions are missing go to youtube and look up "taking blood pressure". Youtube will teach you just about anything, including an 11 year old telling you how you can reuse disposable tomcat mousetraps!
Good luck.
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When my mom's BP dropped dangerously low it did improve when I sat her up, that may have been due to the effort increasing her heartbeat. Mom's case manager (an RN) had me convinced that this was a sign of end of life, but the reality was that her underlying condition had changed and her BP medications were now too strong - if something similar is happening to you be sure they review all medications.
I'm convinced this period of ultra low BP contributed to my mother's mental decline.
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I found this:
https://www.healthline.com/health/blood-pressure-lying-down#bottom-line
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