Unit 3-Nurses Flashcards
pulse
pressure of blood pushing against wall of an artery as the heart beats and rests
pulse points
most easily felt in arteries that are close to skin and can be pressed against bone by fingers
antecubital space
bend of elbow
- where brachial pulse is found
palpate
feeling a pulse
- use first 3 fingers
Auscultate
heading a pulse
- use stethoscope
Rate
measured as number of beats per minute (BPM)
rhythm
pattern of heartbeats
- charted as “regular” or “irregular”
Arrhythmia
irregular pulse
- assess irregular pulse for 1 minute
volume
strength/intensity of pulse
absent
unable to detect (0)
thready/weak
difficult to palpate (+1)
strong/normal
easily found (+2)
bounding/full
pushed forcefully against fingertips (+3)
apical pulse
-assessed at apex of heart
-use stethoscope
used?= irregular heartbeat, before certain meds, peripheral pulse too weak, assessing infants
respiration
exchange of oxygen and carbon dioxide
- patient shouldn’t be aware of assessment
respiratory rate
- adult= rise and fall of chest
* children= rise and fall of abdomen
rhythm
pattern should be regular
quantity
refers to depth and character of respiration
- deep
- shallow
- labored
- unlabored
blood pressure
measurement of pressure blood exerts as it pulsates throughly arteries
• mmHg
• uses sphygmomanometer
3 types of sphygmomanometer
- mercury
- aneriod
- electronic