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    Arterial Pulse Care

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    The arterial pulse is the palpable expansion of the arteries caused by the pressure wave of the blood during cardiac systole. The peripheral pulse rate does not always coincide with the central heart rate and depends on factors such as stroke volume, heart rate, and arterial resistance. The pulse can be taken at various points such as the radial, carotid and tibial arteries.

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    Arterial Pulse Care

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    The arterial pulse is the palpable expansion of the arteries caused by the pressure wave of the blood during cardiac systole. The peripheral pulse rate does not always coincide with the central heart rate and depends on factors such as stroke volume, heart rate, and arterial resistance. The pulse can be taken at various points such as the radial, carotid and tibial arteries.

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    The arterial pulse is the palpable expansion of the arteries caused by the pressure wave of the blood during cardiac systole. The peripheral pulse rate does not always coincide with the central heart rate and depends on factors such as stroke volume, heart rate, and arterial resistance. The pulse can be taken at various points such as the radial, carotid and tibial arteries.

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    The arterial pulse is the palpable expansion of the arteries caused by the pressure wave of the blood during cardiac systole. The peripheral pulse rate does not always coincide with the central heart rate and depends on factors such as stroke volume, heart rate, and arterial resistance. The pulse can be taken at various points such as the radial, carotid and tibial arteries.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    20 views14 pages

    Arterial Pulse Care

    Uploaded by

    ScribdTranslations
    The arterial pulse is the palpable expansion of the arteries caused by the pressure wave of the blood during cardiac systole. The peripheral pulse rate does not always coincide with the central heart rate and depends on factors such as stroke volume, heart rate, and arterial resistance. The pulse can be taken at various points such as the radial, carotid and tibial arteries.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 14

    ARTERIAL PULSE

    It is the palpable expansion of the arteries, when the pressure


    wave established by the blood inside the blood vessels during
    systole moves along them; That is, it is the beating of an artery
    that is perceived when palpating the vessel over a bony
    prominence.

    The peripheral pulse rate is not always the same as the central
    cardiac rate; pulse strength is determined by pulse pressure and
    has little relationship to mean pressure. Some of the heartbeats
    may be too weak to cause expansion in the radial artery; counting
    the radial pulse in these cases is counting only the strong beats.
    ARTERIAL PULSE

    • The pulse wave depends on


    the stroke volume, heart
    rate, ventricular contraction
    speed, blood viscosity and
    resistance of the arterial tree.
    CARDIAC AND
    INNERVATION
    THE BLOOD
    VESSELS
    Impulses on the noradrenergic sympathetic

    nerves to the heart increase heart rate

    (chronotopic effect) and the force of

    contraction of the heart (inotropic effect).

    Impulses and cholinergic vagal cardiac


    fibers decrease heart rate.
    CARDIAC INNERVATION AND
    BLOOD VESSELS
    • Noradrenergic fibers terminate in the vessels of all parts
    of the body, which have a vasoconstrictive function.

    • The resistance vessels of skeletal muscles are


    innervated by vasodilator fibers. In most tissues,
    vasodilation is produced by a decrease in the frequency
    of tonic discharge of the constrictor nerves, although in
    skeletal muscles it can also be produced by activation of
    the sympathetic vasodilator system.
    Factors that affect heart rate Factors that decrease heart rate
    Decrease in the activity of Increase in the activity of
    baroreceptors baroreceptors
    Increase in the activity of Expiration
    headphone stretch receptors
    Inspiration excitement Fear, affliction
    Anger Stimulation of pain fibers
    trigeminal nerve
    Most painful stimuli Increased intracranial pressure
    Hypoxia
    Exercise
    Norepinephrine and adrenaline
    Fever
    WHERE TO TAKE THE PULSE
    WHERE
    PULSE TO TAKE THE PULSE
    CHARACTERISTICS
    The characteristics of the pulse
    are:
    • FREQUENCY TABLE 1 Variations in viral signs with age

    • RHYTHM Mouth
    temperature in
    • AMPLITUDE degrees Celsius
    Pulse Respirations
    (Fahrenheit)
    • TENSION OR Age
    (Average and
    limits)
    (Average and
    limits)
    Blood pressure
    (mm Hg)
    HARDNESS Newly born 36.8 (98.2) (underarm) 130(80-180) 35 (30-80) 73/55
    1 year 36.8 (98.2) ( underarm) 120(80-140) 30 (20-40) 90/55
    • SIMILAR 5-8 years 37 (98.6) 100(75-120) 20(15-25) 95/57

    • SYNCHRONISM 10 years 37 (98.6) 70(50-90) 19(15-25) 102/62


    Teen 37 (98.6) 75(50-90) 18(15-20) 120/80
    • EQUALITY Adults 37 (98.6) 80(60-100) 16(12-20) 120/80
    • SPEED Adults
    greater
    37 (98.6) 70(60-100) 16(15-20) Possible increase in
    diastolic pressure
    • MORPHOLOGY (> 70 years)
    PULSE RATE CHANGES
    • Smoking: HR MAJOR 100 AND 160 children and adults respectively
    • Bradycardia: LESS than 60
    1. Regularity or rhythm
    2. Amplitude (alterations of amplitude)
    3. Likeness
    4. Synchronism
    5. Equality
    6. Tension or hardness
    7. Morphological speed
    Apical pulse- apical beat or shock
    tip
    • They are beats taken at the tip of the heart, considered as the place of greatest
    impulse through ausculation.
    • The apical beat is heard in the 5th intercostal space between 5 and 8 cm to the
    left of the sternum below the left nipple of the patient in dorsal deciubitus.
    Figure 7. Taking the apical pulse using the flat disc of the
    stethoscope. Note how the amplifier is kept attached to the
    chest.
    APICAL RADIAL PULSE
    • It is the point that is assessed by
    auscultation at the tip of the heart and
    simultaneously the pulse perceived in the
    radial (peripheral) artery.
    • For the patient in the supine position,
    one patient auscultates the apical pulse
    and another the radial pulse
    simultaneously in 1 minute, then the
    results are compared; If there is a
    difference in pulse, the number of beats
    of the radial artery will be less than that
    of the tip of the heart. Note the
    characteristics of the radial and apical
    pulse separately
    Pulse control
    • They are the maneuvers to evaluate the pulse wave in the arteries located over
    a bony prominence.
    GOALS
    • Evaluate cardiac function and assess general health evaluate pulse
    characteristics
    EQUIPMENT
    1. Bracelet watch with second hand
    2. Stethoscope cotton swabs for stethoscope use
    3. red pen
    4. Medical records
    • SPECIAL CONSIDERATIONS
    STEPS TO FOLLOW:
    1. hand wash
    Identify and explain to the patient what should be done
    2. put the patient in a supine position with the extremities where the pulse
    will be taken resting on a surface
    3. place the 2nd and 3rd fingers on the 2nd, 3rd and 4th fingers pressing
    lightly on the chosen artery
    4. count the frequency during the established time (15,30 or 60 seconds)
    according to the regularity of the pulse
    5. graph on the clinical record with a red pen
    6. make notes in the clinical record taking into account the date and
    characteristics of the pulse

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