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Vital Signs—Pulse: Everyone Needs One

Vital Signs—Pulse: Everyone Needs One. Health Science CScroggins, MSN, RN. Definition. Pulse: pressure of the blood against an artery wall---as the heart contracts & relaxes. Pulses---most readily palpated in arteries which are close to the skin.

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Vital Signs—Pulse: Everyone Needs One

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  1. Vital Signs—Pulse: Everyone Needs One Health Science CScroggins, MSN, RN

  2. Definition • Pulse: pressure of the blood against an artery wall---as the heart contracts & relaxes. • Pulses---most readily palpated in arteries which are close to the skin. • HCP uses 2 fingers to press the artery against a bone.

  3. How do I locate a pulse? • Pulses---most readily palpated in arteries which are close to the skin. • HCP uses 2 fingers to press the artery against a bone.

  4. Increased pulse rate • Causative factors? • Pair up • Quickly identify at least 3 causes for an increased pulse rate • Go!

  5. Answers: • Factors which elevate the pulse rate: • Exercise • Illness • Anxiety • Medications • Shock • Pain

  6. Decrease in Pulse Rate • Causative Factors • Pair Up • Identify at least 3 factors which decrease the pulse rate--- • Go!

  7. Answers: • Factors which Decrease the pulse: • Some medications • Depression • Extremely fit athletic types (NO Steroids allowed!!!)

  8. Temporal Carotid Brachial Radial Femoral Popliteal Dorsalis Pedis Posterior Tibial Locations of Pulse Points

  9. Pulse Characteristics • Rate • Rhythm • Force

  10. Normal Parameters: Adults • Adults: 60-90 BPM (beats / minute) • Adult Males: 60-70 BPM • Adult Females: 65-80 BPM

  11. Pediatric Norms • Infants (< 1 yr): 100-160 BPM • Children ages 1-7: 80-110 BPM • Children > 7yrs: 80-100 BPM

  12. Grading Pulse Force • 0 = Absent…you’ve got trouble right here in River City. • 1+ = Weak, thready • 2+ = Normal pulsation • 3+ = Full, bounding

  13. Relevant terms • Tachycardia • Bradycardia • Pulse Deficit

  14. Info about the Apical Pulse When do I take an Apical Pulse? • Location: 5th LICS---MCL • How Do I Count the Apical Pulse? • Place stethoscope at the 5th LICS….MCL

  15. Questions • When do I take an Apical Pulse? • What causes the lub-dub sound? • Partner Up and Discuss • Share your answers

  16. Answers • When do I take an Apical Pulse? • Irregular heartbeat, weak, rapid radial pulses, children/infants, those on certain meds. • What causes the lub-dub sound? • Closing of heart valves as blood flows through heart chambers. What causes the lub-dub sound?

  17. Practice • Obtain these pulse rates on your partner • Apical • Radial • Try to find the brachial, dorsalis pedis & posterior tibial

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