This is slides knowledge for pulse rate in heart beat . Regular and irregular of pulse

1. Pulse
Tukesh nursing 33

2. Introduction : -
 Is the rate of heart beat pulse in actually called heart
rate .
 The number of time heart beat each minutes.
 In some case of cardiovascular disease the heart beat
and pulse rate can differ.

3. Definition : -
 Rhythmic expansion and recoil of arteries of body due to left
ventricular contraction called pulse .
OR
 Rhythmical beating , vibrating , or ,sounding

4. Purpose of taken pulse : -
 To establish baseline data for subsequent evaluation.
 To identify whether the pulse rate is within normal range.
 To determine whether the pulse rhythm is regular and the pulse
volume is appropriate.
 To determine the equality of corresponding peripheral pulses on
each side of the body.

5. Sites of taking pulse : -

6.  The pulse may Be felt at : -
1. Temporal artery over the temporal bone.
2. Carotid arteries at the side of the neck.
3. The apical pulse is palpated to count the pulse rate in the infants.
4. The bronchial artery above the elbow and in the anticubtal fossa
inner part of the elbow.
5. The redial artery in front of the wrist.
6. Femoral artery in the groin.
7. Popliteal artery in the popliteal fossa back of the knee.
8. The dorsalis pedis artery on the foot.
9. the posterior tibial artery behind the medial malleolus.

7. Characteristics of the pulse : -
 Rate , rhythm, volume, and tension
1. Rate : - rate is the number of pulse beat in a minute.
- the normal rate in the resting adult is 60 to 100 per minute.
- the pulse rate is over 100 per minutes is referred to be tachycardia.
- The pulse rate is below 60 per minute is referred to be bradycardia.
2. Rhythm : - normally regular meaning that interval between the beats equals .
- In an irregular is also known as arrhythmia.
3. Volume : - the volume of pulse refers to the strength of the expansion and
contraction.

8. Normal value of pulse rate : -
 Babies under 1 year : - 100 – 160 b/min.
 1 to 10 year. : - 70. - 120 b/min.
 10 year and adult. : - 60 – 100 b/ min.
 Athletes. : - 40 – 60 b/ min.
 New born. : - 120 – 140 b/min.
 3 years : - 90 – 100 b/ min.
 8 – 15 years. : - 80 – 86 b/ min.
 Old aged : - 40 – 100 b/ min.

9. Factors affecting of pulse : -
1. Age.
2. Gender.
3. Exercise.
4. Fever.
5. Medication.
6. Loss of blood.
7. Stress.
8. Position change.
9. Heart disease.