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16 Cards in this Set
- Front
- Back
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Define pulse
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Vital sign
pulsations --> beats/minute wave...blood pumped...left ventricle |
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Sites of pulses
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Temporal Carotid
Apical Brachail Radial Femoral Popliteal Dorsal Pedis |
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Characteristics of Pulse
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Rate
Quality Rhythm Volume of blood of blood ejected (stroke volume) |
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Factors Affecting Pulse
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Age Gender Exercise
Fever Meds Blood Loss Stress Position change Dehydration Pathology |
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Pulse Rate:
Normal = Tachycardia = Bradycardia = |
Normal = 60 to 100 beats/min
Tachycardia = (100 to 180) Bradycardia = (below 60) |
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Quality of Pulse: Amplitude
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Amplitude reflects strength of left ventricular contraction; strength of beat measured on a scale of 0 to 4
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Quality of Pulse: Assessed
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Assessed by feel of blood flow through the artery
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Quality of Pulse: Describe
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Normally strong
"Full, bounding, weak, or thready" |
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Pulse Rhythm: Patterns
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Usually regular
Irregular = dysrrhythmia |
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Pulse Rhythm: Documented
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0 = absent
1+ = weak or thready 2+ = normal 3+ = increased 4+ = bounding |
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Pulse Assessment: Peripheral
Pulses |
Peripheral Pulses
Palpate with gentle pressure middle + index finger Watch with second hand |
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Pulse Assessment: Apical Pulse
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Apical Pulse
Stethoscope Position: Apex of Heart 5th ICS, L MCL (mitral area) |
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Radial Pulse
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Watch with second hand
Face palm of hand upward Inner wrist Base of thumb |
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Pulse: Assess 3 Areas
Q... R... R... |
Quality - strong or weak? scale
Rythm - regular or irregular? Rate - ___ beats/minute |
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Pulse Deficit
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Apical Pulse - Radial Pulse =
Pulse Deficit not all heart beat are reaching the peripheral arteries/ too weak to palpate |
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Pulse oximetry
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transducer probe over index finger monitors arterial oxygen saturation
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