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WHAT IS THE PURPOSE OF PULSE ASSESMENT?
- ESTABLISH BASELINE
- DETERMINE IF WITHIN NORMAL RANGE
- DETERMINE IF RATE IS REGULAR
- MONITOR CHANGES IN HEALTH
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WHAT DO YOU LOOK FOR WHEN ASSESING PULSE?
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NORMAL ADULT RATE
60-100 BPM
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TYPES OF RHYTHMS
- REGULAR
- IRREGULAR
- DYSRYTHMIAS
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WHAT IS THE SIANOATRIAL NODE?
- SA NODE
- PACEMAKER OF THE HEART
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TYPES OF PULSE QUALITY
- STRONG
- WEAK
- THREADY
- BOUNDING
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QUALITY IS DETERMINED BY
- FORCE WHICH THE BLOOD IS EJECTED FROM THE VENTRICALS
- STROKE VOLUME
- COMPLIANCE OR ELASTICITY OF ARTERIES
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FACTORS THAT EFFECT PULSE RATE
- AGE
- MEDICATIONS
- EXERCISE
- TEMP
- EMOTIONS
- STIMULATION OF SYMPATHETIC NERVOUS SYSTEM
- PAIN, ANXIETY, FEAR, CAFFEINE
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COMMON SITES TO ASSES PULSE
- TEMPORAL
- CAROTID
- APICAL
- BRACHIAL
- RADIAL
- FEMORAL
- POPLIETEAL
- POSTERIOR TIBIAL
- DORSALIS PEDIS
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PURPOSE OF TAKING B/P
TO OBTAIN BASELINE
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B/P GENERAL INFORMATION
- TOO LARGE OR TOO SMALL A CUFF WILL GIVE INACCURATE READING
- SYSTOLIC-TOP NUMBER CONTRACTION OF VENTRICALS
- DIASTOLIC-BOTTOM NUMBER VENTRICULAR RELAXATION
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PULSE PRESSURE
DIFFERENCE BETWEEN SYSTOLIC AND DIASTOLIC
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NORMAL B/P
FROM 110/60-140/90
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HYPERTENSION
- OVER 140/90 ON CONSECUTIVE READINGS
- HTN
- USUALLY ASYMPTOMATIC
- KNOWN AS SILENT KILLER
- THICKENING OR LOSS OF ELASTICITY OF ARTERIAL WALLS
- FAMILY TENDENCY IS A RISK FACTOR
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HYPOTENSION
- SYSTOLIC BELOW 90
- DIALATION OF ARTERIES
- LOSS OF BLOOD
- PUMP FAILURE
- MAY PRESENT WITH PALLOR CLAMMIENESS CONFUSION INCREASED HEART RATE DECREASED URINE OUTPUT
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ORTHOSTATIC HYPOTENSION
- OCCURES ON RISING TO AN UPRIGHT POSITION
- USUALLY OCCURES WITHIN 1 MINUTE OF STANDING
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ORTHOSTATIC VITAL SIGNS
- TAKING B/P LAYING, SITTING AND STANDING
- WAIT 1-3 MIN BETWEEN TESTS
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FACTORS EFFECTING B/P
- AGE
- ACTIVITY
- WEIGHT
- ETHNICITY
- FEAR, ANXIETY, STRESS
- PAIN
- GENDER
- SMOKING
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ACCEPTABLE AREAS TO TAKE B/P
- BRACHIAL
- RADIAL
- POPLITEAL
- POSTERIOR TIBIALIS/DORSALIS PEDIS
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