Chapter 12: Client Fitness Assessments Flashcards
Radial Pulse
Lightly press the index and middle fingers against the radial artery in the groove on the anterior surface of the lateral wrist.
Brachial Pulse
Located in a groove between the triceps and biceps muscles on the medial side of the arm, anterior to the elbow and palpated with the first two fingers in the medial part of this groove.
Carotid Pulse
Press fingers lightly along the medial border of the sternocleidomastoid muscle in the lower neck region.
Step 1 for taking pulse with palpation
Locate anatomic site.
Step 2 for taking pulse with palpation
Gently press down with the two fingers over palpation site.
Step 3 for taking pulse with palpation
Count the number of pulsations for a specific time period, like 10 seconds.
Step 4 for taking pulse with palpation
Begin counting the first pulsation as 0 when timing is initiated simultaneously or, if a lag time occurs after the start time and the first pulsation, begin with the number 1.
Step 5 for taking pulse with palpation
Determine HR based on the number of pulsations in a given time period. 10 seconds and 6 pushes = 60 beats per minute.
Average Resting Heart Rate
60 - 80 beats per minute
Systolic Blood Pressure
The maximum pressure in the arteries when the ventricles of the heart contract during a heartbeat.
Diastolic Blood Pressure
The minimum pressure in the arteries when the ventricles relax.
Normal systolic blood pressure
less than 120 mmHg
Normal diastolic blood pressure
less than 80 mmHg
Age-predicted max heart rate
220 - age
Elevated Systolic Blood Pressure
120 - 129 mmHg
Stage 1 Systolic Hypertension
130 - 139 mmHg
Stage 1 Diastolic Hypertension
80 - 89 mmHg
Stage 2 Systolic Hypertension
140 or more mmHg
Stage 2 Diastolic Hypertension
90 or more mmHg
Hypertensive Crisis Systolic BP
180 or more mmHg
Hypertensive Crisis Diastolic BP
120 or more mmHg
Korotkoff sounds
The sounds of the blood as it makes its way from an area of high pressure to that of lower pressure as the air is let out of the pumped-up cuff during BP auscultation.
Sphygmomanometer
A manometer and a blood pressure cuff. Used for blood pressure measurements.
Body Composition
The relative proportion of fat and fat-free tissue in the body.
BMI
A way to gauge body composition. We use height and weight to calculate it. kg of weight times meters squared equals the BMI.
Phase 1 Korotkoff Sounds
The first sound or the onset of sound. Sound resembles a clear, repetitive tapping. The sound may be faint initially and gradually increase in volume to phase 2. Phase 1 represents SBP.
Phase 2 Korotkoff Sounds
Soft tapping or murmur-like sound; often longer than phase 1 sounds and may have a swishing component. The phase 2 sounds are typically 10-15 mm Hg after the onset of sound in phase 1.