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About the Pulse

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Salman Quadri

on 2 February 2015

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Transcript of About the Pulse

About the Pulse
What is a pulse?
Your pulse is the rate at which your heart beats. Your pulse is usually called your heart rate, which is the number of times your heart beats each minute (bpm)
Corodit Pulse
Apical Pulse
The pulse count taken with a stethoscope at the apex of the heart.
Femoral pulse
It is located along the crease midway between the pubic bone and the anterior iliac cres
Where can pulse be felt?
There are 8 places where pulse can be felt:
Dorsal Pedal
Temporal Pulse
It is located on the temple directly in front of the ear
Bracial Pulse
It is located at the crease of your elbow.
Radial Pulse
The radial artery is found close to the inside part of your wrist near your thumb
It is found on the side on the neck
As the heart pushes blood through the arteries, the arteries expand and contract with the flow of the blood
The apical pulse is the heartbeat at the apex or the uppermost point of the heart--which is taken through the use of a stethoscope. Put on the earpieces of the stethoscope and begin your auscultation. With your patient sitting or lying supine, place the disk of the stethoscope below the left nipple of your patient, just between the fifth and sixth ribs.
Popletial pulse
The popliteal artery extends off of the femoral artery, and it is located in the knee and the back of the leg.
Dorsal Pedal Pulse
It is located at the prominent arch of the top of the foot between the first and second metatarsal bones
To find the carotid pulse, run your index and middle fingers alongside your patient's windpipe (trachea) located on the anterior or front part of the neck. You can feel the pulse on either sides of the patient's neck, but you must not press on both arteries at the same time.
Use the pads of two fingers. Place these just below the wrist creases at the base of the thumb. Press lightly until you feel a pulse (blood pulsing under your fingers). If necessary, move fingers around until you feel the pulse.
Do not use your thumb when taking pulse measurements because it already as its own pulse. Always use your index and middle finger for the method.
Normal Range
Newborns 0 - 1 month old: 70 - 190 beats per minute
Infants 1 - 11 months old: 80 - 160 beats per minute
Children 1 - 2 years old: 80 - 130 beats per minute
Children 3 - 4 years old: 80 - 120 beats per minute
Children 5 - 6 years old: 75 - 115 beats per minute
Children 7 - 9 years old: 70 - 110 beats per minute
Children 10 years and older-adults (including seniors): 60 - 100 beats per minute
Well-trained athletes: 40 - 60 beats per minute

Choppy Pulse is uneven and rough. Classically defined as a knife scraping bamboo. Blood deficiency or blood stagnation
Deep Pulse has most strength at lowest level and requires deep pressure to feel well. Internal organ deficiency
Fast Pulse is greater than 80 beats per mintue. Heat, either excess or deficient
Full Pulse can be felt strongly on all three levels (superficial, middle and deep). Heat, excess or both.
Slow Pulse is less than 60 beats per minute. Cold in the interior, or severe qi deficiency
Thin Exactly what it says. Pulse simply feels thinner than it should. Blood or qi deficiency.
Tight Pulse feels taught like a rope, thicker than wiry, feels as if the pulse evenly hits the fingers in different places with every beat. Cold, usually causing stagnation.
Weak Strength of the pulse is minimal, and with more pressure cannot be felt at all. Qi deficiency

First you are to palpate a bony prominence called the zygomatic arch in order to locate the temporal pulse. Use your index and middle fingers to feel the zygomatic arch in front of your patient's ear, specifically near the small pointed eminence (tragus). Then move your fingers slightly above it to feel the pulsation of the temporal pulse.
Using your index and middle fingers, palpate his brachial artery by positioning your fingers on the medial side (the side near his body) of his cubital fossa (the crease in between the forearm and the upper arm situated above the elbow). If you can't feel it during your first palpation, you can run your fingers from the center of the crease going toward his body. This way, you can easily feel the pulsation of his brachial artery.
The radial pulse is the easiest pulse to locate and is the most common site for taking pulse measurements.
With your patient lying on his back and legs extended, palpate for the femoral pulse around the area of his groin. Using your index and middle finger, press the right or left femoral artery against the ischium--the lower part of the hip bone
Tell your patient to lie on his back, and flex his right or left knee at approximately 120 degrees. Hold his knee with both hands. Extend the index and middle fingers of your hands on his popliteal fossa (the crease located at the back of his knee), and palpate his popliteal artery.
High Rate
High heart rate can be caused by many things like physical activity, panic, or stress. When the heart rate is too fast, it may not pump blood to the rest of the body. This condition is called tachycardia. Tachycardia is an abnormality in which the heart tissues produce electrical signals rapidly in the upper or lower chamber of the heart.
Quality of pulse
Some symptoms of Tachycadia are:
First visualize because you might see the skin pulsating above the artery. If you are unable to see anything, hold two or more fingers lightly against the skin. Move up from the toes towards the leg until you locate the pulse.
Shortness of Breath
Rapid Pulse Rate
Heart Palpitations
Chest Pain
Rapid heart rates reduce the ability of the heart to pump out enough blood for it to reach the vital organs of the body. This deprives the organs of oxygen-rich blood and can cause dizziness, and other symptoms.
Trachycardia can be detected by an examination called electrocardiogram. It can be treated by medical prescriptions like propafenone.
Low Pulse
Low pulse can be a sign of poor quality of blood, which is called bradycardia. Bradycardia is a problem with the hearts electrical systems. Its when the heart's natural pacemaker is not working hard enough to meet the body's needs.
cornary artery disease
Heart Attack
Infections(like endocarditis)
A doctor can find out if you have bradycardia by doing a physical exam and ask questions about your past health and then do a electrocardiogram
One of the ways Bradycardia can be treated is by using a pacemaker to help monitor and control your heartbeat.
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