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HCC 2008 pulse

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