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Vital Signs

Vital Signs. Pulse. A blood wave created by contraction of the left ventricle. What is the Pulse?. Compliance : Ability of the arteries to contract and expand. Cardiac output : the volume of the blood pumped in the arteries = SV X HR. Age Gender Exercise Fever Medications Hypovolemia

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Vital Signs

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  1. Vital Signs • Pulse

  2. A blood wave created by contraction of the left ventricle What is the Pulse?

  3. Compliance : Ability of the arteries to contract and expand. • Cardiac output: the volume of the blood pumped in the arteries = SV X HR.

  4. Age Gender Exercise Fever Medications Hypovolemia Stress Position changes Pathology Factors affecting the pulse

  5. PERIPHERAL PULSE • APICAL PULSE -infants and children up to 3 years of age -used once there is discrepancies with radial pulse -in conjunction w some medications such as Digoxin.

  6. Pulse sites • Temporal-when radial not accessible • Carotid-cardiac arrest, circulation to the brain • Apical • Brachial-Bp, cardiac arrest in infants • Radial- most common and accessible • Femoral-cardiac arrest, infant and children, POVD • Popliteal, POVD, • Posterior tibial, Foot circulation • Pedal (dorsalis pedis), foot circulation

  7. Peripheral blood vessels • Arteries in the arm • Brachial • Ulnar • Radial • Arteries in the leg • Femoral • Popliteal • Posterior tibial • Dorsalis Pedis

  8. Assessing pulse • Palpation (60 sec.) • Middle three fingers • Using stethoscope • Doppler ultrasound • Moderate pressure • Aware of (medications, activity, position)

  9. Explain procedure Privacy Supine, or sitting position Point of maximal impulse (PMI) 5th. Intercostal space MCL. Clean ear piece and diaphragm by antiseptic gel Warm diaphragm before use Assess for “lub-dub” Assessing Apical pulse

  10. Assessing pulse • Rate : tachycardia (100B/m), bradycardia (60B/m) • Rhythm : dysrhythmia, arrhythmia (ECG) • Volume : full bounding, weak, feeble, thready • elasticity : straight, smooth, soft, pliable • Pulse deficit : any discrepancy b/w apical-radial pulses.

  11. Assessing Peripheral temperature

  12. Assessing Peripheral pulses

  13. Assessing Peripheral pulses

  14. Assessing Peripheral pulses

  15. Assessing Peripheral pulses

  16. Assessing Peripheral pulses

  17. Nursing Dx. • Ineffective peripheral tissue perfusion r/to…..

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