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Arterial Pulse: Radial
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Arterial Pulse: Radial

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Arterial Pulse: Radial …

Arterial Pulse: Radial

To assess cardiac function. To assess state of health.

NEW BLOGSITE ADDRESS:
"Nurses Information Site"
http://nursesinfosite.blogspot.com

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  • 1. Arterial Pulse: Radial To assess cardiac function. To assess state of health.
  • 2. Method Of Exam
    • Simultaneously palpate both radial pulses.
    • Note the rate, rhythm, character, amplitude and compare both pulses.
    • Feel the pulse with one finger.
    • To evaluate character of pulse - compress brachial artery against humerus and let up part way to feel percussion and tidal peaks.
    • Raise the patient's forearm and feel for a bounding pulse by feeling with the flat of your palm.
  • 3.
    • Normal:  
    • Pulse is symmetrical, regular and between 60-90 per minute. 
    • You have to learn to appreciate the character and amplitude of the normal pulse.
  • 4. Abnormal Finding
    • Rate
    • Bradycardia: Less than 60/min (Myxedema, heart block, raised IC tension, obstructive jaundice)
    • Tachycardia: Faster than 100/min. (Sinus tachycardia, PAT, atrial flutter, ventricular tach)
  • 5.
    • Rhythm
    • Irregular: (Sinus arrhythmia, extra systoles, atrial fib, pulses bigemini)
    • Alternating weak and strong pulse:
      • Pulses bigemini: Normal beat alternating with extra systole (Dig toxicity)
      • Pulses alternans: Normal beat alternating with low amplitude beat
  • 6.
    • Amplitude
    • Slow small sustained ( Aortic stenosis)
    • Large bounding pulse: Water hammer pulse: (Aortic insufficiency, high output states, slow heart rates)
    • Double systolic peak: Bisferiens pulse (Aortic regurgitation)
    • Decrease in amplitude during inspiration: Paradoxical pulse Exaggerated in (Pericardiac tamponade, obstructive lung disease)
  • 7.
    • Compare
    • Missing or feeble on one side: (Prior cath, Takayasu's disease, subclavian steel syndrome)
  • 8.
    • Grading Pulse
    • 4=Normal
    • 3=Slightly diminished
    • 2=About half
    • 1=Barely palpable
    • 0=Absent
  • 9. Knowledge Base
    • Surface anatomy of radial and brachial artery
    • Physiology of pulse
    • Diseases altering pulse characteristics
    • Cardiac arrhythmias
  • 10.
    • Resources: Bates, A Guide to Physical Exam .
    • “ Nurses Informations”
    • http://nursesinformations.blogspot.com

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