Today’s random act is a nursing facts: Medical Area: Fundamentals Subject: Vital Signs Component: Pulse
Today’s random act is a nursing facts:
Medical Area: Fundamentals
Subject: Vital Signs
Component: PulsePulse rate can be increased (tachycardia), normal, or decreased (bradycardia).
Fact: The characteristics of the pulse include rate, quality, and rhythm etc.
Pulse amplitude and quality ranges include:
- 0 absent pulse-no pulsation felt despite extreme pressure
- 1+ thready pulse-Pulsation is not easily felt, and slight pressure causes it to disappear
- 2+ Weak pulse-Stronger than a thready pulse; light pressure causes it to disappear
- 3+ Normal pulse-Pulsation is easily felt, takes moderate pressure to cause it to disappear
- 4+ Bounding pulse-The pulsation is strong and does not disappear with moderate pressure
Pulse rhythm may be regular or irregular (dysrhythmias)
- Regular rhythms include: normal, weak, and bounding pulses
- Irregular rhythms include: bisferiens (2 systolic peaks), pulsus alternans (alternating strong and weak peaks), and bigeminal (normal heart beat followed by a premature heartbeat) pulses
Pulse sites include temporal (tempal), carotid (neck **often used in CPR and first aid situations), brachial (inner elbow **often used for blood pressure), radial (wrist **often used as first site for assessment), femoral (right above genitalia and right below stomach), popliteal (back of knee **often used when thigh is used for blood pressure reading), posterior tibia (right below ankle bone inside), dorsalis pedis (top of foot on the side of the great or big toe),and apical b/w the 5th and 6th ribs (intercostal spaces) or the 5th intercostal space to the left of the midclavicular line (left of the midline of the clavicle) and under the nipple.