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PULSE
*Pulse/Pressure Wave
- wave of blood created by contraction of the left ventriole of the heart.
- Mitral closes- aortic opens
- Tricuspid closes- mitral opens
* Healthy person- pulse is equal to heart beat.
* pulse and heart rate may not coincide with each other.
* Point of Maximum Impulse- Apical pulse
- Palpatory: 2 fingers
- Auscultatory: stethoscope
- Doppler: for babies; fetal heart tone. Also used when you cannot find the pulse.
Pulse Sites
* Temporal Artery- palpated on the temple; superficial temporal artery which is the major artery of the
head.
* Carotid Artery- for brain circulation, cardiac arrest; for adults only. Specific
* Apical Artery- on the chest
* Radial Artery- most accessible. On the wrist
* Femoral Artery- checking after cardiac arrest. Supplies oxygenated blood to the lower extremity
structures.
* Brachial Artery- can be felt on the elbow’s front side
* Popliteal Artery- for the lower leg circulation
* Dorsalis Pedis Artery- On the foot. Directly above the big toe and second toe.
* Age
Infant 80-160 bpm
Adult 60-100 bpm
BLOOD PRESSURE
* Age
* Exercise
* Stress
* Race- Africans & Americans have high blood pressure
* Sex- females have lower blood pressure than males; when females become menopausal, their blood
pressure increases.
* Medication- epinephrine and norepinephrine
* Obesity- fats accumulate vein
- stroke: clots in brain; hypertension
* Temperature- cold: constrict
- hot: dilate; decreases blood pressure
Stethoscope
- bell: low pitch sound
- Diaphragm: high pitch sound
Palpatory Method
* Rod Coff sound
- Systole: first
- Diastole: second
- Last: phase 4
-line tubing in the brachial artery. Add 30mm
- Aldosterone: causes water and sodium retention; where sodium goes, water follows. Increase water
and sodium of blood.
- Kidneys, Liver, and Lungs: help blood pressure. One of these organs damaged, can affect the blood
pressure. (ie. jaundice, end stage of renal disease)