Pulse Locations
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26 Terms
list of sites for assessing pulse
temporal artery
carotid artery
apical
brachial artery
radial artery
femoral artery
popliteal artery
posterior tibial artery
pedal (dorsalis pedis) artery
where is the temporal pulse located?
on the side of the head
what is the temporal pulse used for?
alternative site if radial isn’t available
where is the carotid pulse located?
side of the neck
what is the carotid pulse used for?
use for emergency assessments (shock or cardiac arrest).
palpate one side at a time
where is the brachial pulse located?
medial aspect of antecubital
what is the brachial pulse used for?
in infant emergencies (cardiac arrest), assessing blood pressure
where is the radial pulse located?
along the thumb side of the wrist
what is the radial pulse used for?
most often used site for routine pulse assessment in children and adults
how many fingers are used while assessing radial pulse?
3
where is the femoral pulse located?
at the groin
what is the femoral pulse used for?
assessing blood circulation to the legs, also used during cardiac arrest in adults
where is the popliteal pulse located?
behind the knee
where is the posterior tibial pulse located?
the medial ankle
where is the dorsalis pedis (pedal) pulse located?
the top of the foot
what are the femoral, political, posterior tibial, and dorsalis pedis pulses used for?
assessing circulation to the legs and feet
point of maximal impulse (where the apical pulse is)
between the 5th and 6th intercostal space, mid clavicle line
heart rate is best heard here
normally, the apical and radial pulses should be ___
the same
can the radial pulse ever be greater than apical pulse?
NO
between apical and radial, which pulse is always going to have the higher pulse if they arent the same?
apical pulse
pulse deficit
the numeric difference between apical and radial pulse
apical pulse - radial pulse = ?
pulse deficit
when do assess apical pulse
when radial pulse is irregular, weak, or very rapid
before giving medications that alter rate and rhythm
for infants and children under 2
what age group always has apical pulse assessed?
infants and children under 2
two nurse method for figuring out apical-pulse rates
decide on a start time
nurse counting radial says “start”
both count for 60 seconds
nurse counting radial says “stop”
RADIAL CAN NEVER BE GREATER THAN APICAL