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3 Pulse Sites You MUST Know as a Nurse #shorts
3 Pulse Sites You MUST Know as a Nurse #shorts
3 Pulse Sites You MUST Know as a Nurse #shorts
Pulse pressure [1]
Pulse pressure is the difference between systolic and diastolic blood pressure.[1] It is measured in millimeters of mercury (mmHg). It represents the force that the heart generates each time it contracts
(For example, if the systolic pressure is 120 mmHg, then the pulse pressure would be considered low if it is less than 30 mmHg, since 30 is 25% of 120.)[2] A very low pulse pressure can be a symptom of disorders such as congestive heart failure.[3]. Pulse pressure is calculated as the difference between the systolic blood pressure and the diastolic blood pressure.[3][4]
The aorta has the highest compliance in the arterial system due in part to a relatively greater proportion of elastin fibers versus smooth muscle and collagen. This serves to dampen the pulsatile (maximum pumping pressure) of the left ventricle, thereby reducing the initial systolic pulse pressure, but slightly raising the subsequent diastolic phase
Pulse Points And How To Find Them [2]
Places on the body where it is possible to feel the arterial pulse are also commonly called pulse points. You can feel the pulse of the artery at some places on the body where the artery is close enough to the surface of the skin that you can feel the pulse of blood as the heart muscle contracts.
For example, the radial artery lies closer to the skin surface than the femoral artery, so it requires less pressure to feel. Additionally, the nurse should be aware that holding too much pressure on the artery can obstruct blood flow, making it impossible to feel a pulse
Once the pulse is found, the nurse should assess for the following pulse characteristics1. – Rate: A normal rate for an adult is between 60-100 beats per minute
Pulse Pressure: What It Is and How to Calculate It [3]
Pulse pressure is the difference between the upper and lower numbers of your blood pressure. Pulse pressure tends to increase as you get older, and this number can also be an indicator of health problems before you develop symptoms.
The systolic pressure is the top number, and it’s a measurement of how much pressure your arteries are under each time your heart beats. The diastolic pressure, which is the bottom number, is how much pressure your arteries are under between heartbeats.
This is because the first sphygmomanometers (pronounced “sfig-mo-ma-nom-et-er”) used to measure blood pressure had mercury in them. Mercury isn’t used anymore in these devices, which are also usually called blood pressure cuffs, but millimeters of mercury is still used.
What Pulse Qualities are Assessed? – Vital Sign Measurement Across the Lifespan – 1st Canadian edition [4]
The pulse rhythm, rate, force, and equality are assessed when palpating pulses.. The normal pulse rhythm is regular, meaning that the frequency of the pulsation felt by your fingers follows an even tempo with equal intervals between pulsations
However, sinus arrhythmia is a common condition in children, adolescents, and young adults. Sinus arrhythmia involves an irregular pulse rhythm in which the pulse rate varies with the respiratory cycle: the heart rate increases at inspiration and decreases back to normal upon expiration
If a pulse has an irregular rhythm, it is important to determine whether it is regularly irregular (e.g., three regular beats and one missed and this is repeated) or if it is irregularly irregular (e.g., there is no rhythm to the irregularity). Irregularly irregular pulse rhythm is highly specific to atrial fibrillation
Cardiovascular Lab: Blood Pressure: Palpatory Method [5]
sphygmomanometer is wrapped firmly around the right arm above the elbow. The radial pulse (the pulse at the radial artery in the
seconds is counted, and the heart rate in beats per minute is recorded.. The valve on the inflating bulb of the sphygmomanometer is
cuff is inflated further until the pressure is about 30 mm Hg higher.. The valve on the inflating bulb is opened slightly by
Blood Pressure lab online [6]
Measure and record effects of various factors on blood pressure and pulse. Complete Exercise 48 – Pulse Rate and Blood Pressure
Procedure B: Blood Pressure – Read the introductory paragraph. you have access to a blood pressure cuff (it is always a good idea to
activity and record your data in the chart provided. have access to a blood pressure cuff then you may skip this step.
Palpatory Method of Measuring Diastolic Blood Pressure [7]
Palpatory Method of Measuring Diastolic Blood Pressure. Most common method for measuring blood pressure is palpatory but only systolic pressure can be measured with this method
We have studied in 200 patients and compared systolic as well as diastolic blood pressures with two methods, auscutatory and palpatory. Systolic and diastolic blood pressure were measured by one of the authors with new palpatory method and noted down
The values were compared in term of range and percentage.. The difference were analysed and found that 102 (51%) patients had systolic and diastolic blood pressure measured by palpatory method, within ± 2 mmHg of auscutatory method, 37 (19%) patients had within ± 4 mmHg, 52 (25%) patients had same readings as with auscutatory method, and in 9 (0.5%) patients it could not be measured.
Apical Pulse: Definition, Location, and More [8]
Your pulse is the vibration of blood as your heart pumps it through your arteries. You can feel your pulse by placing your fingers over a large artery that lies close to your skin.
It can be found in the left center of your chest, just below the nipple. This position roughly corresponds to the lower (pointed) end of your heart
Listening to the apical pulse is basically listening directly to the heart. It’s a very reliable and noninvasive way to evaluate cardiac function
Sphygmomanometer [9]
A sphygmomanometer (/ˌsfɪɡmoʊməˈnɒmɪtər/ SFIG-moh-mə-NO-mi-tər), a.k.a. a blood pressure monitor, or blood pressure gauge, is a device used to measure blood pressure, composed of an inflatable cuff to collapse and then release the artery under the cuff in a controlled manner,[1] and a mercury or aneroid manometer to measure the pressure
A sphygmomanometer consists of an inflatable cuff, a measuring unit (the mercury manometer, or aneroid gauge), and a mechanism for inflation which may be a manually operated bulb and valve or a pump operated electrically.. Both manual and digital meters are currently employed, with different trade-offs in accuracy versus convenience.
Manual meters are best used by trained practitioners, and, while it is possible to obtain a basic reading through palpation alone, this yields only the systolic pressure.. – Mercury sphygmomanometers are considered the gold standard
Taking Your Pulse and Blood Pressure [10]
Your heart doctor will use some standard and simple techniques to gain the first clues to your heart’s function.. Your doctor feels your pulse in order to check your heart’s rate, rhythm and regularity
The force of the pulse also helps evaluate the amount (strength) of blood flow to different areas of your body.. You can tell how fast your heart is beating (heart rate) by feeling your pulse
To measure your pulse, you need a watch with a second hand.. – Place your index and middle finger of your hand on the inner wrist of the other arm, just below the base of the thumb.
What are veins called that feel hard core like when palpated? [11]
You feel the pulse during systole (contraction of the ventricles).. this is recorded as 120 palp, and only indicates the systolic pressure
The reason you can’t feel your pulse in veins and capillaries but you can in arteries is because arteries are much larger and carry a larger amount of blood than veins and capillaries.
Pulse pressure: An indicator of heart health? [12]
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Sources
- https://en.wikipedia.org/wiki/Pulse_pressure#:~:text=Healthy%20pulse%20pressure%20is%20around,than%2025%25%20of%20the%20systolic.
- https://www.nursetogether.com/pulse-points/#:~:text=The%20brachial%20pulse%20is%20found,feel%20near%20the%20elbow%20crease.
- https://my.clevelandclinic.org/health/symptoms/21629-pulse-pressure#:~:text=Pulse%20pressure%20is%20the%20difference,Care
- https://pressbooks.library.torontomu.ca/vitalsign/chapter/what-pulse-qualities-are-assessed/
- https://www.medicine.mcgill.ca/physio/vlab/cardio/palpa.htm
- https://www.studocu.com/en-us/document/chemeketa-community-college/biology-anatomy-and-physiology/blood-pressure-lab-online/35375427
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3087253/
- https://www.healthline.com/health/apical-pulse
- https://en.wikipedia.org/wiki/Sphygmomanometer
- https://my.clevelandclinic.org/health/articles/17062-heart–blood-vessels-simple-clues-to-your-heart
- https://www.answers.com/Q/What_are_veins_called_that_feel_hard_core_like_when_palpated
- https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/expert-answers/pulse-pressure/faq-20058189
