How should you record pulse with normal rate rhythm and volume?

Assessing the pulse rate in adult patientsDigital Edition: Assessing the pulse rate in adult patients

31 August, 2015

Pulse assessment is a vital component of good nursing care. Nurses must feel confident in their ability to accurately measure the pulse to assess patients’ health statuses


Abstract
Assessing the pulse is a common procedure and an important aspect of many nursing interventions; it should always be done with care and reassessed as needed. Assessment should always be taken seriously, with any deviations from the norm reported to a senior clinician, and pulse rate, rhythm and strength must always be documented. Pulses indicate numerous patient characteristics including the degree of relaxation, regularity of cardiac contractions and sufficiency of cardiac output. This article considers the relevant anatomy, physiology and practice of pulse assessment and recording.

Citation: Lowry M, Ashelford S (2015) Assessing the pulse rate in adult patients. Nursing Times; 111: 36/37, 18-20.

Authors: Mike Lowry is lecturer in nursing; Sarah Ashelford is lecturer in biological sciences; both at the University of Bradford.
This article has been double-blind peer reviewed
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How should you record pulse with normal rate rhythm and volume?

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In each issue, the paramedic education team at Edge Hill University focuses on the clinical skills carried out by paramedics on the frontline, highlighting the importance of these skills and how to perform them. In this month's instalment, Andrew Kirk discusses common pulse sites and correct technique for obtaining a patient's pulse

How should you record pulse with normal rate rhythm and volume?
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Pulse/heart rate is the wave of blood in the artery created by contraction of the left ventricle during a cardiac cycle. The strength or amplitude of the pulse reflects the amount of blood ejected with myocardial contraction (stroke volume). Normal pulse rate range for an adult is between 60-100 beats per minute. A well-trained athlete may have a resting heart rate of 40 to 60 beats per minute, according to the American Heart Association (AHA).[1]See also heart rate

  • Peripheral pulses that can be felt at the periphery of the body by palpating an artery over a bony prominence. Examples are carotid, radial and popliteal pulses
  • Apical pulses which is a central pulse located on the apex of the heart that is monitored using a stethoscope.[2]

Factors that Influence Heart Rate[edit | edit source]

  • Age
  • Sex
  • Emotions/stress
  • Exercise
  • Medication[2]

To measure pulse rate. Place your index and third fingers on your neck to the side of the trachea, never press on the pulses on both sides of the lower neck at the same time to prevent blocking blood flow to the brain. To check your pulse at your wrist, place two fingers between the bone and the tendon over your radial artery (which is located on the thumb side of your wrist)

When taking your pulse:

  • Using the first and second fingertips, press firmly but gently on the arteries until you feel a pulse.
  • When you feel pulse, count the number of beats in 15 seconds. Multiply this number by four to calculate beats per minute.
  • When counting, do not watch the clock continuously, but concentrate on the beats of the pulse.
  • If unsure about your results, ask another person to count for you.

Rate: Number of pulsation which could be Bradycardia (<60/minute) or Tachycardia (>100/minute)

Rhythm: Time interval between pulse beats[2][3]

The role of the physiotherapist is to monitor the heart rate during exercise, the intensity and safe exercise level. The pulse rate must be taking into account to determine the level of intensity exercise the patient can bear (light vs moderate vs heavy exercise intensity zone).[4][5]

Which is the correct way to record pulse rate?

Using the first and second fingertips, press firmly but gently on the arteries until you feel a pulse. Begin counting the pulse when the clock's second hand is on the 12. Count your pulse for 60 seconds (or for 15 seconds and then multiply by four to calculate beats per minute).

What is rate rhythm and volume of pulse?

Pulse/heart rate is the wave of blood in the artery created by contraction of the left ventricle during a cardiac cycle. The strength or amplitude of the pulse reflects the amount of blood ejected with myocardial contraction (stroke volume). Normal pulse rate range for an adult is between 60-100 beats per minute.

What is the normal rhythm of pulse?

Your pulse rate, also known as your heart rate, is the number of times your heart beats per minute. A normal resting heart rate should be between 60 to 100 beats per minute, but it can vary from minute to minute.