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Unit 19. Pulse and Respiration. Objectives. Spell and define terms. Define pulse. Explain the importance of monitoring a pulse rate. Locate the pulse sites. Identify the range of normal pulse and respiratory rates. Objectives. Measure the pulse at different locations.

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unit 19

Unit 19

Pulse and Respiration

  • Spell and define terms.
  • Define pulse.
  • Explain the importance of monitoring a pulse rate.
  • Locate the pulse sites.
  • Identify the range of normal pulse and respiratory rates.
  • Measure the pulse at different locations.
  • List the characteristics of the pulse and respiration.
  • List eight guidelines for using the stethoscope.
the pulse
The Pulse
  • Pressure of the blood felt against the wall of an artery
    • As the heart alternately contracts and relaxes
  • More easily felt in arteries that are fairly close to the skin
the pulse1
The Pulse
  • Same in all arteries throughout the body
  • An indication of how the cardiovascular system is meeting the body’s needs
radial pulse
Radial Pulse
  • Most commonly measured pulse
  • It is measured at the radial artery in the wrist
using a stethoscope
Using a Stethoscope
  • Clean ear pieces and diaphragm of the stethoscope before using it
  • Clean stethoscope tubing if it contacts patient or bed linen
  • Check ear pieces for wax
    • Remove it if present
using a stethoscope1
Using a Stethoscope
  • Check stethoscope tubing
    • Do not use if it has cracks or holes in it
  • Position ear pieces facing forward
using a stethoscope2
Using a Stethoscope
  • Diaphragm of stethoscope
    • Should not contact the patient’s clothing, blood pressure cuff, or other device
  • Place diaphragm flat against the skin and hold it in place
    • If the diaphragm is at an angle
      • You will not be able to hear the sounds
using a stethoscope3
Using a Stethoscope
  • Apply firm, but gentle pressure when holding the diaphragm in place
    • If you press too hard, you may be unable to hear the sound
the apical pulse
The Apical Pulse
  • Measured by counting the heart contractions
apical radial pulse rate
Apical-Radial Pulse Rate
  • Apical and radial pulse rate is a comparison of the apical rate and the radial rate
    • Usually, they are the same
  • The main function of respirationis to supply cells in the body with oxygen
    • To rid the body of excess carbon dioxide
  • Since breathing may be voluntarily controlled
    • Patient should not know you are counting respirations
  • Note whether the patient’s breathing is
    • Normal (easy) or labored (dyspneic)
    • Shallow or deep, and quiet or noisy
  • Check the muscles of the neck and abdomen
  • If the patient is using these muscles for breathing, inform the nurse