[LESSON 1] PULSE

Pulse

It is A WAVE OF BLOOD CREATED BY CONTRACTION OF THE LEFT VENTRICLE OF THE HEART.

Pulse

It is A THROBBING SENSATION THAT CAN BE PALPATED OVER A PERIPHERAL ARTERY OR AUSCULTATED OVER THE APEX OF THE HEART.

• It is PRODUCED BY THE MOVEMENT OF BLOOD during heart’s contraction.

Pulse

It is the DISTENTION OR PULSATION OF ARTERIES PRODUCED BY THE WAVE OF BLOOD FORCED INTO THEM BY HEART’S LEFT VENTRICULAR contraction by the pumping action of the heart.

• It can be felt when DIRECT PRESSURE IS APPLIED at certain points/pulse sites of the body.

Temporal

PULSE SITES

It is SUPERIOR AND LATERAL TO THE EYE.

• It is USED WHEN RADIAL PULSE IS NOT ACCESSIBLE.

Carotid

PULSE SITES

It is the SIDE OF THE NECK BETWEEN THE TRACHEA AND STERNOCLEIDOMASTOID MUSCLE.

Carotid

PULSE SITES

It is USED DURING CARDIAC ARREST/SHOCK IN ADULTS

• It is USED TO DETERMINE CIRCULATION TO THE BRAIN.

Apical

PULSE SITES

It is the APEX OF THE HEART.

• It is ROUTINELY USED FOR INFANTS & CHILDREN UP TO 3 YEARS OLD.

Apical

PULSE SITES

It is USED TO DETERMINE DISCREPANCIES W/ RADIAL PULSE.

• It is USED IN CONJUNCTION W/ SOME MEDICATIONS.

Brachial

PULSE SITES

It is the INNER ASPECT OF THE BICEPS MUSCLE OF THE ARM OR MEDIALLY IN THE ANTECUBITAL SPACE.

Brachial

PULSE SITES

It is USED TO MEASURE BP.

• It is USED DURING CARDIAC ARREST FOR INFANTS.

Radial

PULSE SITES

It is the THUMB SIDE OF THE INNER ASPECT OF THE WRIST.

• READILY ACCESSIBLE AND ROUTINELY USED.

Femoral

PULSE SITES

It is AN INGUINAL REGION.

Femoral

PULSE SITES

• USED IN CASES OF CARDIAC ARRESTSHOCK OTHER THAN CAROTID.

• USED TO DETERMINE CIRCULATION IN LEGS.

Popliteal

PULSE SITES

It is BEHIND THE KNEES, CAN BE EASILY PALPATED W/ CLIENT’S KNEE FLEXED SLIGHTLY.

• It is USED TO DETERMINE CIRCULATION TO THE LOWER LEG.

• USED TO MEASURE THIGH BP.

Posterior Tibial

PULSE SITES

It is the MEDIAL SURFACE OF THE ANKLE.

• It is USED TO MEASURE CIRCULATION TO THE FOOT.

Dorsalis Pedis/Pedal

PULSE SITES

It is in the DORSUM OF THE FOOT USED TO DETERMINE CIRCULATION TO THE FOOT.

Peripheral Pulse

These PULSE SITES ARE COLLECTIVELY CALLED ___ BECAUSE THEY ARE DISTANT FROM THE HEART.

Peripheral Pulse

It is the PULSE LOCATED IN THE PERIPHERY.

Facing DOWN

If the CLIENT IS MADE TO LIE DOWN, HIS ARM RESTS ALONGSIDE THE BODY, PALM DOWN OR THE FOREARM CAN REST AT 90-DEGREE ANGLE ACROSS THE CHEST WITH PALM ______.

Pulse Rate

CHARACTERISTICS OF THE PULSE

It is THE NUMBER OF PULSE BEATS IN ONE FULL MINUTE.

• It is the NUMBER OF PULSATIONS FELT OVER PERIPHERAL ARTERY or normal heard over the apex of heart per min.

60-100 beats/min

CHARACTERISTICS OF THE PULSE

It is the NORMAL RANGE OF PULSE IN ADULTS AND ADOLOSCENCE AT REST.

• It INCREASES AND DECREASES IN RESPONSE TO A VARIETY OF PHYSIOLOGIC MECHANISMS.

Tachycardia

CHARACTERISTICS OF THE PULSE

1. THE PULSE RATE OF AN ADULT EXCEEDS 100/BEATS PER MIN AT REST.

2. It CAN EXCEED 150 BEATS/MIN DURING EXERCISE.

Tachycardia

CHARACTERISTICS OF THE PULSE

1. RAPID CONTRACTION. If SUSTAINED, TENDS TO OVERWORK THE HEART AND MAY NOT OXYGENATE CELLS adequately because the HEART HAS LITTLE TIME BETWEEN CONTRACTIONS TO FILL WITH BLOOD.

Palpitation

CHARACTERISTICS OF THE PULSE

it is the AWARENESS OF ONE’S OWN HEART CONTRACTION AND CAN ACCOMPANY TACHYCARDIA.

Bradycardia

CHARACTERISTICS OF THE PULSE

it is the SLOW PULSE RATE.

• LESS COMMON THAN TACHYCARDIA

• NEEDS PROMPT REPORTING AND CONTINUED MONITORING.

Bradycardia

CHARACTERISTICS OF THE PULSE

• It is the PULSE RATE OF AN ADULT LESS THAN 60/BEATS PER MIN.

Pulse Rhythm/Regularity

CHARACTERISTICS OF THE PULSE

It is THE PATTERN BY WHICH THE HEART BEATS ARE SPACED, normally regular w/ each beat.

• THIS ARE REGULAR, BEATS FELT BY THE FINGER AT A REGULAR INTERVAL and are of EQUAL FORCE.

Dysrhythmia/arrythmia

CHARACTERISTICS OF THE PULSE

This is AN IRREGULAR PATTERN/RHYTHM OF HEARTBEATS APICAL PULSE SHOULD BE ASSESSED.

• This SHOULD BE REPORTED PROMPTLY.

Bigeminal

CHARACTERISTICS OF THE PULSE

This PULSE HAS OCCASSIONAL PREMATURE BEATS, RESULTIN IN A SHORTER INTERVAL BETWEEN BEATS FOLLOWED BY A LONGER INTERVAL.

Pulse Volume/Amplitude

CHARACTERISTICS OF THE PULSE

It REFLECTS THE STRENGTH OF LEFT VENTRICULAR CONTRACTION.

• It is the QUALITY OF PULSATION FELT USUALLY RELATED TO THE AMOUNT OF BLOOD PUMPED with each heartbeat, or the force of heart contraction.

Absent Pulse

TYPES OF PULSE VOLUME

It is WHERE NO PULSATION IS FELT DESPITE OF EXTREME PRESSURE.

Thready Pulse

TYPES OF PULSE VOLUME

It is WHERE PULSATION IS NOT EASILY FELT; SLIGHTLY PRESSURE CAUSES IT TO DISAPPEAR.

Weak Pulse

TYPES OF PULSE VOLUME

It is when PULSE IS STRONGER THAN THREADY; LIGHT PRESSURE CAUSES IT TO DISAPPEAR.

Normal Pulse

TYPES OF PULSE VOLUME

The PULSATION IS FELT EASILY; MODERATE PRESSURE CAUSES IT TO DISAPPEAR.

Bounding Pulse

TYPES OF PULSE VOLUME

It is WHERE THE PULSATION IS STRONG AND DOES NOT DISAPPEAR WITH MODERATE PRESSURE.

120-160 BPM

AGE SPAN OF PULSE

• LESS THAN 1MONTH

80-140 BPM

AGE SPAN OF PULSE

• 1-12 MONTHS

80-130 BPM

AGE SPAN OF PULSE

• 12 MONTHS - 2 YEARS

75-120 BPM

AGE SPAN OF PULSE

• 2-6 YEARS

75-100 BPM

AGE SPAN OF PULSE

• 6-12 YEARS

60-100 BPM

AGE SPAN OF PULSE

• MORE THAN 12 YEARS

Pulse Oximeter

This is A NON-INVASIVE DEVICE THAT MEASURES A CLIENT’S ARTERIAL BLOOD OXYGEN SATURATION BY MEANS OF SENSOR ATTACHED TO THE CLIENT’S FINGER, toe, nose, or forehead.

• IT INDICATES OXYGEN SATURATION MEASUREMENT AND PULSE RATE.

Tachycardia

CHARACTERISTICS OF THE PULSE

It is the RAPID PULSE RATE.