DEFINITION OF PULSE
The alternate expansion(raise)and recoil (raise)of the
elastic arteries after each systole of the left ventricle
creating a travelling pressure wave that is called the pulse.
A healthy person normal pulse rate 60-100 b/min.
SITE OF PULSE MEASURMENT
1.TEMPORAL ARTERY-the site is above and lateral to eye
where the temporal artery passes over the temporal bone of
2.CAROTID ARTERY -at the side of the neck where the
carotid artery runs between the trachea and the
sternocleidomastoid muscle. Carotid asses less then 5-10 sec.
3.APICAL-At the apex of the heart between 4th and 5th
4.RADIAL ARTERY -Radial artery located front of the wrist
5.FEMORAL ARTERY -Inner aspect of upper thigh.
6.BRACHIAL ARTERY-at the inner aspect of the biceps
muscles of the arm or medially in the anticubital .
7.POSTERIOR TIBIAL ARTERY-on the medial surface of the
ASSESSMERNT OF PULSE
A pulse is commonly assessed by palpation effecting or
auscultation using stethoscope.
The middle three finger are used for palpating all pulse
site concept the apex of the heart ,A stethoscope is used
for assessing apical pulse.
Pulse is expressed in beat per minutes.
Average pulse of an healthy adult is 72b/min and it
range from 60-100 b/m.
In some type of cardiovascular disease the heart rate and
pulse rate can differ.
The apical pulse rate may be his/her than the radial pulse
and the difference is known as pulse deficit.
FACTOR AFFECTING OF PULSE
1.MEDICTION-some medication decrease the pulse.
2.EXERCISE-the pulse rate increase with muscular activity.
3.HYPOVOLEMIA/DEHYDRATION-loss of blood from the
vascular system increase the pulse rate.
4.SRESS-stress increase the rate as well as the force of the
5.BODY TEMPREATUE-when the patient is in body
temperature increase the pulse rate increase the pulse rate
increase 10 b/min for every 1 degree Fahrenheit (0.56 degree
Celsius) increase body temperature.
6.DISEASE CONDITION- loss of food ,shock increase the plus
7.FOOD INTAKE-indigestion food cause increase pulse rate .
8.AGE-the very young have a rapid pulse rate the adult
have a normal range of 60-100 per minute the very old
have relatively slow pulse rate
CHARACTERISTICS OF PULSE
The characteristics of a pulse involves
RATE-number of beats per minute
RHYTHM-pattern or regularity of the beats. The length of
time between beats should be same .
VOLUME-amount of blood pumped with each beat.
ARTERIAL WALL ELASTICITY- the artery wall should feel
soft and flexible under the finger.