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Age Pulse rate (beats per minute) Newborn (resting) 100–180 Infant (resting) 80–150 Child 26 years 75–120 Child 6–12 years 70–110 Adolescent–adult 60–90 Ask whether the patient has walked, climbed stairs, or otherwise exerted themself in the last 20 minutes. If not, you can proceed. If the answer is yes, wait 20 minutes before taking the reading. This will help to prevent false readings. 2 Make sure the patient is relaxed and comfortable. 3 Place the tips of your first and second finger on the inside of the patient’s wrist (Figure 1). 4 Press gently against the pulse. Take your time to note any irregularities in strength or rhythm. 5 If the pulse is regular and strong, measure the pulse for 30 seconds. Double the number to give the beats per minute (e.g.: 32 beats in 30 seconds means the pulse is 64 beats per minute). If you noticed changes in rhythm or strength, you must measure the pulse for a full minute. 6 Record the pulse rate (the number of beats per minute) in the patient’s notes and describe its strength and rhythm. Compare the pulse rate with the values in the Table 1 and record whether the pulse is normal, slow or fast. Any abnormalities should be recorded and reported to the senior nurse and doctor. 7 Strength of the pulse is a very subjective measurement, but an experienced nurse will compare it with what has been felt previously in other patients. Describe the puse as ‘weak’, ‘faint’, ‘strong’ or ‘bounding’. 8 Think about the rhythm of the pulse. Is it regular? If irregular, in what way? Cardiac problems may present as a regular missed beat, for
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Ch 25 ppp, with breakouts
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Chapter 25 Measuring
Vital Signs
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HOW do you
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