Pulse
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NURSING STUDENT CAN LEARN THE PULSE ASSESSMENT
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PULSE OR HEART RATE,TYPES OF PULSE ,FACTORS AFFECTING AND REGULATION .pptx
Definition of pulse:
Pulse: The rhythmic dilation of an artery that results from beating of the heart.
pulse is the regular expansion of an artery caused by the ejection of blood into the arterial system by the contractions of the heart ·
A pulse can be defined as the rhythmic contraction and dilation of the arteries resulting from the beating of the heart.
The pulse is the number of heartbeats per minute.
CENTRAL VS PERIPHERAL PULSE
Central and peripheral pulses are two types of pulses that can be measured in the human body.
The central pulse refers to the pulse that can be felt in the carotid artery located in the neck, while the peripheral pulse refers to the pulse that can be felt in the radial artery located in the wrist.
Several studies suggest that central (aortic) blood pressure (cBP) is a better marker of cardiovascular disease risk than peripheral blood pressure (pBP).
Measuring an Apical Pulse.
(1) Warm the stethoscope in the hands. A cold stethoscope may surprise the patient and alter the pulse rate.
(2) Place the stethoscope at the apex (pointed end) of the heart, in the left center of the chest, just below the nipple. The pulse can usually be heard best at the apex.
(3) Count the pulse for one full minute.
Watson's water hammer pulse, also known as Corrigan's pulse or collapsing pulse, a pulse that is bounding and forceful, rapidly increasing and subsequently collapsing, as if it were the sound of a water hammer that was causing the pulse.
Pulsus bisferiens, also known as biphasic pulse, is an aortic waveform with two peaks per cardiac cycle, a small one followed by a strong and broad one.
pulsus tardus et parvus, more commonly known as slow-rising pulse, the pulse is late (tardus) (relative to contraction of the heart) and weak/small (parvus).
Pulsus bigeminus is a cardiovascular phenomenon characterized by groups of two heartbeats close /together followed by a longer pause.
The dicrotic pulse :A dicrotic pulse is a palpable, double pulsation with each cardiac cycle .
Pulsus alternans is an arterial pulse with alternating strong and weak beats.
paradoxical pulse, or "pulsus paradoxus," A paradoxical pulse (Kussmaul's) is an abnormal decrease in pulse wave amplitude during inspiration.
Tachycardia and bradycardia are two types of heart rhythm disorders.
Tachycardia is a condition where the heart beats faster than usual, with a heart rate greater than 100 beats per minute .
Bradycardia, on the other hand, is a condition where the heart beats slower than usual, with a heart rate of fewer than 60 beats per minute.
Drugs affecting pulse rate
Azithromycin (zithromax)
Inhaled corticosteroids, albuterol,
decongestants have pseudoephedrine
Levothyroxine
Venlafaxine, and
Tricyclic antidepressants
Cardiac cycle by dr ambareesha
The sequence of changes in pressure vise, volume vise flow vise in the heart chambers between beat to beat is called cardiac cycle
Recommended
PULSE OR HEART RATE,TYPES OF PULSE ,FACTORS AFFECTING AND REGULATION .pptx
Definition of pulse:
Pulse: The rhythmic dilation of an artery that results from beating of the heart.
pulse is the regular expansion of an artery caused by the ejection of blood into the arterial system by the contractions of the heart ·
A pulse can be defined as the rhythmic contraction and dilation of the arteries resulting from the beating of the heart.
The pulse is the number of heartbeats per minute.
CENTRAL VS PERIPHERAL PULSE
Central and peripheral pulses are two types of pulses that can be measured in the human body.
The central pulse refers to the pulse that can be felt in the carotid artery located in the neck, while the peripheral pulse refers to the pulse that can be felt in the radial artery located in the wrist.
Several studies suggest that central (aortic) blood pressure (cBP) is a better marker of cardiovascular disease risk than peripheral blood pressure (pBP).
Measuring an Apical Pulse.
(1) Warm the stethoscope in the hands. A cold stethoscope may surprise the patient and alter the pulse rate.
(2) Place the stethoscope at the apex (pointed end) of the heart, in the left center of the chest, just below the nipple. The pulse can usually be heard best at the apex.
(3) Count the pulse for one full minute.
Watson's water hammer pulse, also known as Corrigan's pulse or collapsing pulse, a pulse that is bounding and forceful, rapidly increasing and subsequently collapsing, as if it were the sound of a water hammer that was causing the pulse.
Pulsus bisferiens, also known as biphasic pulse, is an aortic waveform with two peaks per cardiac cycle, a small one followed by a strong and broad one.
pulsus tardus et parvus, more commonly known as slow-rising pulse, the pulse is late (tardus) (relative to contraction of the heart) and weak/small (parvus).
Pulsus bigeminus is a cardiovascular phenomenon characterized by groups of two heartbeats close /together followed by a longer pause.
The dicrotic pulse :A dicrotic pulse is a palpable, double pulsation with each cardiac cycle .
Pulsus alternans is an arterial pulse with alternating strong and weak beats.
paradoxical pulse, or "pulsus paradoxus," A paradoxical pulse (Kussmaul's) is an abnormal decrease in pulse wave amplitude during inspiration.
Tachycardia and bradycardia are two types of heart rhythm disorders.
Tachycardia is a condition where the heart beats faster than usual, with a heart rate greater than 100 beats per minute .
Bradycardia, on the other hand, is a condition where the heart beats slower than usual, with a heart rate of fewer than 60 beats per minute.
Drugs affecting pulse rate
Azithromycin (zithromax)
Inhaled corticosteroids, albuterol,
decongestants have pseudoephedrine
Levothyroxine
Venlafaxine, and
Tricyclic antidepressants
Cardiac cycle by dr ambareesha
The sequence of changes in pressure vise, volume vise flow vise in the heart chambers between beat to beat is called cardiac cycle
CARDIOVASCULAR SYSTEM - ANATOMY & PHYSIOLOGY
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Blood pressure
Blood pressure is one of the important vital signs. This ppt is for the First year General Nursing and Midwifery (GNM) students to understand the topic with simple language and pictures
The cardiovascular system min
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• Diagnostic tests p. 621
o ECG
o Stress ECG
o CXR
o Echo
o Cardiac cath
o Angiography
o Doppler studies
o Pulse oximetry
• Haematological studies p. 623
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o Tetralogy of Fallot
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Congestive cardiac failure p. 644, PCCM 81
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o Right sided
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o GIT
o Oedema
o Renal
o Neurological
o Other
o Physical examination
o Summary table 33.6
• Diagnostic test results
• Management
o See N/care plan p 624
o PCCM p 84
Bed rest
Stress relief
Diet
Exercise
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Refer
Medication
• Nursing management
Cardiac trauma p 647, p 216, table 33.7
• Stabbed heart PCCM 272
Management of coronary artery disease
• Risk factors p 651
• Pathophysiology p 651
• Nursing assessment p 652
o Subjective/ Objective
• Diagnostic test results p 653 (not SGOT)
Angina p 653 PCCM p 91 (T&E Periods)
• Stable
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Myocardial infarct p 653 PCCM p 92 (T&E Periods)
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CARDIOVASCULAR SYSTEM - ANATOMY & PHYSIOLOGY
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Power point the cardiovascular system - anatomy and physiology
Cardiovascular System - Anatomy and Physiology
Blood pressure
Blood pressure is one of the important vital signs. This ppt is for the First year General Nursing and Midwifery (GNM) students to understand the topic with simple language and pictures
The cardiovascular system min
General cardiovascular system
• Diagnostic tests p. 621
o ECG
o Stress ECG
o CXR
o Echo
o Cardiac cath
o Angiography
o Doppler studies
o Pulse oximetry
• Haematological studies p. 623
o Serum electrolytes
o Blood gases
o Serum enzymes
o Serum lipids
• Classification of cardiac disorders p. 629
• Risk factors p. 629
Congenital heart defects p. 630
• Description of congenital defects
o ASD
o VSD
o PDA
o Tetralogy of Fallot
• Clinical manifestations of congenital defects
• Management
Disorders associated with the conducting system p 633
• Specific dysrhythmias of the atria p. 634
o PAC
o Atrial flutter
o Atrial Fibrillation
• Ventricular dysrhythmias p 637
o Ventricular tachycardia
o Ventricular fibrillation
o Ventricular asystole
• Management
Congestive cardiac failure p. 644, PCCM 81
• Aetiology
• Pathophysiology
• Classification of CCF
o Systolic HF
o Right sided
o Left sided
• Clinical manifestations
o Respiratory
o GIT
o Oedema
o Renal
o Neurological
o Other
o Physical examination
o Summary table 33.6
• Diagnostic test results
• Management
o See N/care plan p 624
o PCCM p 84
Bed rest
Stress relief
Diet
Exercise
Smoking / alcohol
Refer
Medication
• Nursing management
Cardiac trauma p 647, p 216, table 33.7
• Stabbed heart PCCM 272
Management of coronary artery disease
• Risk factors p 651
• Pathophysiology p 651
• Nursing assessment p 652
o Subjective/ Objective
• Diagnostic test results p 653 (not SGOT)
Angina p 653 PCCM p 91 (T&E Periods)
• Stable
• Unstable
• Clinical features pain PCCM 91
• Management P 653 PCCM 91
Myocardial infarct p 653 PCCM p 92 (T&E Periods)
• Clinical manifestations p 654 PCCM 92
• Clinical features pain PCCM 92
• Management
o Medical
o PTCA /CABG
o Nursing
Diagnoses
Outcomes
Interventions
• Complications
o Cardiogenic shock
o Cardiac failure
o Deep vein thrombosis
o Pulmonary embolism
• Essential health information
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Pulse
- 2. DEFINITION • Pulse is actually called heart rate, which is the number of time heart beats each minutes. • In some types of cardiovascular disease, the heartbeat & pulse rate can differ.
- 6. PURPOSES OF TAKING PULSE RATE
- 9. FACTORS AFFECTING THE PULSE
- 23. SIGN & SYMPTOMS • Headache • Fatigue • Palpitation • Nausea • Sleep disturbance • Weakness • Tremulousness • Hyperventilation • Sweating • Anxiety • Dizziness / Vertigo • Pre syncope • Sweating