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HCC
HCC 2008 pulse
Question | Answer |
---|---|
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 |