Determine the best site for blood pressure assessment. Avoid applying cuff to extremity when I fluids are being infused, when an AV shunt or fistula is present; when breast or axillary surgery has been performed on that side; or when extremity has been traumatized diseased, or requires a cast or bulky bandage. The lower extremities may be used when the brachial arteries are inaccessible (see Procedural Guideline 11-1)