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Pulse

Pulse. Define The pressure of the blood pushing against the walls of an artery as the heart beats and rests Felt more easily in arteries that lie close to the skin. Pulse Sites. Temporal – forehead Carotid – neck Brachial – inner, upper arm Radial – wrist Femoral – groin

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Pulse

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  1. Pulse • Define • The pressure of the blood pushing against the walls of an artery as the heart beats and rests • Felt more easily in arteries that lie close to the skin

  2. Pulse Sites • Temporal – forehead • Carotid – neck • Brachial – inner, upper arm • Radial – wrist • Femoral – groin • Popliteal – behind knee • Dorsalis pedis – top of foot

  3. Pulse Rate • Define • Number of beats per minute • Variables • Age, sex, body size

  4. Pulse Rates • Adults 60-90bpm • Children > 7 70-90bpm • Children 1-7 80-110bpm • Infants 100-160bpm

  5. Bradycardia Pulse rate under 60 beats per minute Tachycardia Pulse rate greater than 100 beats per minute Pulse Terms

  6. Characteristics of the Pulse • Rate – beats per minute • Rhythm – regularity or spacing of beats • Regular or irregular • Arrhythmia – irregular heartbeat/pulse • Volume – strength or intensity • Strong, weak, thready, bounding

  7. Exercise Stimulant drugs Excitement Fever Shock Nervous tension Factors that Increase the Pulse

  8. Factor that Decrease the Pulse • Sleep • Depressant drugs • Heart disease • Coma • Physical training

  9. Apical Pulse • Heartbeat taken by listening with a stethoscope over the apex of the heart • The heart sounds are lubb-dupp • Each lubb-dupp is one beat • Used for taking an infant’s pulse because it is so rapid

  10. Respirations • Define • Process of taking in oxygen and expelling carbon dioxide • One Respiration includes • 1 inspiration, breathing in • 1 expiration, breathing out

  11. Respiration Rates • Adults • 14-18 breaths per minute • Children • 16-25 breath per minute • Infants • 30-50 breaths per minute

  12. Respiration Characteristic • Rate • Number of respirations per minute • One respiration is one inspiration and one expiration • Rhythm • Regular or irregular • Character • Deep, shallow, stertorous, moist

  13. Abnormal Respiration Terminology • Dyspnea – difficulty breathing • Apnea – absence of respirations • Tachypnea – respiration > 25/min • Bradypnea – respirations <10/min • Orthopnea – severe dyspnea • Cheyne-Stokes – periods of dyspnea followed by periods of apnea. Seen in dying patients • Rales – bubbling respiration caused by moisture in the lungs

  14. Procedure for Taking Respirations • Count respirations so patient is unaware • Do not tell patient you are taking their respirations as it is a voluntary and involuntary process • Take the patients pulse and afterwards leave hand in place and lift eyes to count the rise and fall of the patients chest

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