The patient’s arm should be bare, and he or she should not be lying down. If the device doesn’t record them, then write them down and bring that written record to your appointment. Clinicians, nurses or pharmacists — anyone taking these readings — owe it to the patient to take the time to get the measurement right. Though she has a healthy skepticism of doctors, she is not dismissive of their efforts. So, are we right to be worried? At any given can your blood pressure fluctuate of systolic BP, different levels of diastolic will have some impact on HBP risk.