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HCC

HCC 2008 pulse

QuestionAnswer
pulse blood is forced into the arteries causing them to expand
pulse rate number of pulsations felt/heard per minute
normal pulse rate for the average man at rest 60-70 bpm
normal/average PR newborn to 1 month 120-160 bpm average 140
normal/average PR 1-12 months 80-140 bpm average 120
normal/average PR 12 months - 2 yrs 80-130 bom average 110
normal/average PR 2-6 yrs 75-120 bpm average 100
normal/average PR 6-12 yrs 75-110 bpm average 95
normal/average PR adolescent to Adult 60-100 bpm average 80
what qualities of pulse are important to observe? rate, rhythm, amplitude/volume, symmetry
rate number of pulsations felt/heart
rhythm pattern of the pulse rate--regular, irregular, irregular w/pattern, irregular w/o pattern
dysrhythmia irregular
amplitude/volume strength/quality of pulse--strong, bounding, weak, thready
symmetry equal on both sides of the body
timing for taking pulse take for 15 secs x 4, 30 secs x 2, if apical or irregular take for 60 secs
sites for taking a pulse temporal, axillary, brachial, carotid, femoral, popliteal, tibial
tachycardia increased pulse rate 100-180 bpm
bradycardia pulse below 60 bpm
arrhythmia/ dysrhythmia irregular heartbeat
equipment needed watch with sweeping second hand
palpation feeling
auscultation listening
palpation/auscultation feeling and listening
very young and elderly may have _________ rates increased
how would you alter the care plan if you found tachycardia? resting position, check underlying cause, check pulse frequently, notify MD, oxygen (if appropriate)
how would you alter your care plan if you found bradycardia? recheck, check frequently, look for underlying cause, notify MD, obtain EKG, Hotel Digoxin, oxygen if appropriate
how would you alter your care plan if you found arrhythmia/dysrhythmia? any irregular heartbeat should be reported immediately
Created by: jaed008