(PULSE)
Presented by:-
Mr. Ashish kumar
nursing tutor

SPECIFIC OBJECTIVE
 DEFINITION OF PULSE
 SITE OF PULSE MEASURMENT
 ASSESSMENT OF PULSE
 FACTOR AFFECTING OF PULSE
 CHARACTERISTICS OF PULSE

DEFINITION OF PULSE
 The alternate expansion(raise)and recoil (raise)of the
elastic arteries after each systole of the left ventricle
creating a travelling pressure wave that is called the pulse.
 A healthy person normal pulse rate 60-100 b/min.

SITE OF PULSE MEASURMENT
 1.TEMPORAL ARTERY-the site is above and lateral to eye
where the temporal artery passes over the temporal bone of
the head.
 2.CAROTID ARTERY -at the side of the neck where the
carotid artery runs between the trachea and the
sternocleidomastoid muscle. Carotid asses less then 5-10 sec.
 3.APICAL-At the apex of the heart between 4th and 5th
intercostal space.

CONT…
4.RADIAL ARTERY -Radial artery located front of the wrist
thumb side.
5.FEMORAL ARTERY -Inner aspect of upper thigh.
6.BRACHIAL ARTERY-at the inner aspect of the biceps
muscles of the arm or medially in the anticubital .
7.POSTERIOR TIBIAL ARTERY-on the medial surface of the
ankle.

CON…..
 8.POPLITEAL ARTERY-where the popliteal artery passes
behind the knee.
 9.PEDAL (DORSAL PEDIS)-populated by feeling the
dorsum upper surface of foot.

CON….

ASSESSMERNT OF PULSE
 A pulse is commonly assessed by palpation effecting or
auscultation using stethoscope.
 The middle three finger are used for palpating all pulse
site concept the apex of the heart ,A stethoscope is used
for assessing apical pulse.
 Pulse is expressed in beat per minutes.
 Average pulse of an healthy adult is 72b/min and it
range from 60-100 b/m.

CONT….
 In some type of cardiovascular disease the heart rate and
pulse rate can differ.
 The apical pulse rate may be his/her than the radial pulse
and the difference is known as pulse deficit.

FACTOR AFFECTING OF PULSE
 1.MEDICTION-some medication decrease the pulse.
 2.EXERCISE-the pulse rate increase with muscular activity.
 3.HYPOVOLEMIA/DEHYDRATION-loss of blood from the
vascular system increase the pulse rate.
 4.SRESS-stress increase the rate as well as the force of the
heart beat.

CONT…
 5.BODY TEMPREATUE-when the patient is in body
temperature increase the pulse rate increase the pulse rate
increase 10 b/min for every 1 degree Fahrenheit (0.56 degree
Celsius) increase body temperature.
 6.DISEASE CONDITION- loss of food ,shock increase the plus
rate .
 7.FOOD INTAKE-indigestion food cause increase pulse rate .

CONT…
 8.AGE-the very young have a rapid pulse rate the adult
have a normal range of 60-100 per minute the very old
have relatively slow pulse rate

CHARACTERISTICS OF PULSE
The characteristics of a pulse involves
 RATE-number of beats per minute
 RHYTHM-pattern or regularity of the beats. The length of
time between beats should be same .
 VOLUME-amount of blood pumped with each beat.
 ARTERIAL WALL ELASTICITY- the artery wall should feel
soft and flexible under the finger.

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