Assessment Before Moving and Handling: Difference between revisions
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=== Pulses === | === Pulses === | ||
[[Pulse rate]] is defined as the wave of blood in the artery created by contraction of the left ventricle during a cardiac cycle. The most common sites of measuring the peripheral pulses are the radial pulse, ulnar pulse, brachial pulse in the upper extremity, and the posterior tibialis or the [[Dorsalis Pedis Artery|dorsalis pedis]] pulse as well as the femoral pulse in the lower extremity. Clinicians also measure the carotid pulse in the neck. In day to day practice, the radial pulse is the most frequently used site for checking the peripheral pulse, where the pulse is palpated on the radial aspect of the forearm, just proximal to the [[Wrist and Hand|wrist joint.]] | [[Pulse rate]] is defined as the wave of blood in the artery created by contraction of the left ventricle during a cardiac cycle. The most common sites of measuring the peripheral pulses are the radial pulse, ulnar pulse, brachial pulse in the upper extremity, and the posterior tibialis or the [[Dorsalis Pedis Artery|dorsalis pedis]] pulse as well as the femoral pulse in the lower extremity. Clinicians also measure the carotid pulse in the neck. In day to day practice, the radial pulse is the most frequently used site for checking the peripheral pulse, where the pulse is palpated on the radial aspect of the forearm, just proximal to the [[Wrist and Hand|wrist joint.]] | ||
==== Parameters for assessment of pulse ==== | |||
# Rate: The normal range used in an adult is between 60 to 100 beats /minute with rates above 100 beats/minute and rates and below 60 beats per minute, referred to as tachycardia and bradycardia, respectively. Changes in the rate of the pulse, along with changes in respiration is called sinus arrhythmia. In sinus arrhythmia, the pulse rate becomes faster during inspiration and slows down during expiration. | |||
# Rythym: Assessing whether the rhythm of the pulse is regular or irregular is essential. The pulse could be regular, irregular, or irregularly irregular. Irregularly irregular pattern is more commonly indicative of processes like atrial flutter or atrial fibrillation. | |||
# Volume: Assessing the volume of the pulse is equally essential. A low volume pulse could be indicative of inadequate tissue perfusion; this can be a crucial indicator of indirect prediction of the systolic blood pressure of the patient. | |||
# Symmetry: Checking for symmetry of the pulses is important as asymmetrical pulses could be seen in conditions like aortic dissection, aortic coarctation, Takayasu arteritis, and subclavian steal syndrome. | |||
# Amplitude and rate of increase: Low amplitude and low rate of increase could be seen in conditions like aortic stenosis, besides weak perfusion states. High amplitude and rapid rise can be indicative of conditions like aortic regurgitation, mitral regurgitation, and hypertrophic cardiomyopathy.<ref name=":0" /> | |||
=== Heart Rate === | === Heart Rate === | ||
Revision as of 17:02, 14 April 2023
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Introduction[edit | edit source]
Add your content to this page here!
Cognitive Status[edit | edit source]
Orientation, Concentration, Memory, Ability to Follow Instructions
Emotional Status[edit | edit source]
Confusion, Agitation, Aggression, Depression, Cooperation,
Cardiovascular Status[edit | edit source]
Pulses[edit | edit source]
Pulse rate is defined as the wave of blood in the artery created by contraction of the left ventricle during a cardiac cycle. The most common sites of measuring the peripheral pulses are the radial pulse, ulnar pulse, brachial pulse in the upper extremity, and the posterior tibialis or the dorsalis pedis pulse as well as the femoral pulse in the lower extremity. Clinicians also measure the carotid pulse in the neck. In day to day practice, the radial pulse is the most frequently used site for checking the peripheral pulse, where the pulse is palpated on the radial aspect of the forearm, just proximal to the wrist joint.
Parameters for assessment of pulse[edit | edit source]
- Rate: The normal range used in an adult is between 60 to 100 beats /minute with rates above 100 beats/minute and rates and below 60 beats per minute, referred to as tachycardia and bradycardia, respectively. Changes in the rate of the pulse, along with changes in respiration is called sinus arrhythmia. In sinus arrhythmia, the pulse rate becomes faster during inspiration and slows down during expiration.
- Rythym: Assessing whether the rhythm of the pulse is regular or irregular is essential. The pulse could be regular, irregular, or irregularly irregular. Irregularly irregular pattern is more commonly indicative of processes like atrial flutter or atrial fibrillation.
- Volume: Assessing the volume of the pulse is equally essential. A low volume pulse could be indicative of inadequate tissue perfusion; this can be a crucial indicator of indirect prediction of the systolic blood pressure of the patient.
- Symmetry: Checking for symmetry of the pulses is important as asymmetrical pulses could be seen in conditions like aortic dissection, aortic coarctation, Takayasu arteritis, and subclavian steal syndrome.
- Amplitude and rate of increase: Low amplitude and low rate of increase could be seen in conditions like aortic stenosis, besides weak perfusion states. High amplitude and rapid rise can be indicative of conditions like aortic regurgitation, mitral regurgitation, and hypertrophic cardiomyopathy.[1]
Heart Rate[edit | edit source]
Blood Pressure[edit | edit source]
Respiratory Status[edit | edit source]
Respiratory Rate[edit | edit source]
The respiratory rate/the number of breaths per minute is defined as the one breath to each movement of air in and out of the lungs. The normal breathing rate is about 12 to 20 beats per minute in an average adult. In the pediatric age group, it is defined by the particular age group.
Oxygen Saturation[edit | edit source]
Breathing Pattern[edit | edit source]
Work of Breathing[edit | edit source]
Attachments[edit | edit source]
Environment[edit | edit source]
Resources[edit | edit source]
References [edit | edit source]
- ↑ Cite error: Invalid
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