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11 Cards in this Set
- Front
- Back
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Location of peripheral pulse palpation for UE |
Brachail - Medial to biceps tendon and lateral to medial epicondyle of humerus. Radial - At wrist, lateral to flexor carpi radialis tendon Carotid - medial aspect of SCM in lower half of neck. Ulnar - at wrist, between flexor digitorum superficialis and flexor carpi ulnaris tendons |
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Location of peripheral pulse palpitation for LE |
Femoral - upper thigh, one-third of the distance from the pubis to the ASIS Popliteal - posterior knee in the popliteal space Posterior tibial - space between the medial malleolus and the Achilles tendon, above the calcaneus Dorsalis Pedis: near the center of the long axis of the foot, between the first and second metatarsal bones |
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Appropriate digits for palpation |
index and middle fingers |
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Note the following |
Rhythm: regular or irregular Volume: amplitude of pulse Quality: strong or weak |
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Method of calculating |
Count 15 seconds and multiply by 4. Unless you need a more accurate pulse. |
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Grades of pulses |
0 - absent 1 - small/reduced 2+ - normal/average 3+ - large/bounding |
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Purpose of the ankle-brachial index (ankle-arm index) |
To check for peripheral artery disease. |
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Doppler Ultrasound |
A Doppler US can estimate how fast the blood flows by measuring the rate of change in its pitch or frequency. |
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Ankle Brachial Index procedure |
SBP are measured in both brachial and both tibialis posterior arteries. ABI is calculated by dividing the higher of the two blood pressure measurements in the ankles by the higher of the two systolic blood pressure measurements. |
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Normal values |
1.0-1.30 |
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Abnormal values |
> 1.30 indicates rigid arteries .8 - .99 indicates mild blockage (beginning PAD) .4 - .79 indicates moderate blockage (intermittent claudication w/ exercise) < .4 indicates severe blockage (PAD and caudation @ rest) |
