List the pulse sites accessible to examination
Upper & lower extremities assessment nursing
The typical carotid artery is palpated using the middle and index fingers on the neck below the jaw and lateral to the larynx/trachea (i.e., mid-point between your earlobe and chin).
The brachial artery pulse can be felt by softly pushing the artery against the underlying bone with the middle and index fingers on the anterior aspect of the elbow. With a stethoscope and sphygmomanometer, the brachial artery pulse is widely used to measure blood pressure.
Radial artery pulse – The radial pulse is palpated by softly pressing the radial artery against the underlying bone with the middle and index fingers just above the wrist joint at the base of the thumb (common site) or in the anatomical snuff box (alternative site).
The posterior tibial pulse is palpated by softly pressing the tibial artery against the underlying bone with the middle and index fingers, posterior and inferior to the medial malleolus.
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The radial artery originates in the antecubital fossa, where the brachial artery bifurcates. On the anterior portion of the forearm, it runs distally. It marks the boundary between the anterior and posterior compartments of the forearm, with the posterior compartment starting just lateral to the artery. The artery passes through the anatomical snuff box and between the heads of the first dorsal interosseous muscle as it winds laterally around the wrist. It becomes the deep palmar arch, which connects to the deep branch of the ulnar artery, after passing anteriorly between the heads of the adductor pollicis.
The radial artery takes a superficial path in the anatomical snuff box in less than 1% of the population.
1st Accidental injection of this variant radial artery has been documented, which could be mistaken for the cephalic vein. [two] It is therefore recommended that arterial pulsation be observed in the anatomical snuff box.
The radial artery lies superficially in front of the distal end of the radius, between the brachioradialis and flexor carpi radialis tendons, and it is here that the radial pulse is taken (where it is commonly used to assess the heart rate and cardiac rhythm). The presence of radial pulse was thought to suggest a systolic blood pressure of at least 70 mmHg, as measured from the 50% percentile, but this was found to be an overestimation of a patient’s true blood pressure in most cases. [three]
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This artery is located in front of the tragus and above the zygomatic arch, and it branches off the external carotid artery (cheekbone). This pulse point is investigated during the head’s head-to-toe inspection.
This location is most often used as a pulse check site during adult CPR. It’s a major artery that feeds the brain, neck, and face. As previously mentioned, only palpate one side at a time to avoid activating the vagus nerve, which will lower heart rate and blood flow to the brain.
This site is checked during the head-to-toe examination and before Digoxin is given. Until taking Digoxin, an adult’s heart rate should be at least 60 beats per minute. At this spot, always use your stethoscope to count the pulse rate for 1 minute.
This is a major artery that runs through the groin and delivers blood to the legs. Between the pubic symphysis and the anterior superior iliac spine, this artery can be felt deep in the groin below the inguinal ligament.
The knee should be flexed to locate the artery. The popliteal fossa, a diamond-shaped pitted region behind the knee, is where it is found. Palpate the artery with two paws… One hand is used to help stretch the leg, while the other is used to palpate the artery.
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The first paragraph is an introduction. The pulse test of the foot has been found to be unreliable due to differences in technique between examiners. The position of the posterior tibial pulse is more easily defined by the groove between the medial malleolus and the Achilles tendon, but the location of the dorsalis pedis pulse is less clear. In this paper, a novel physical examination method for locating the dorsalis pedis pulse is identified.
Methodologies: A total of 41 patients were treated over the course of two months at a tertiary medical center’s general surgery clinic. The distance to the dorsalis pedis pulse in bilateral lower extremities was determined by palpation and compared to Doppler ultrasound using the dorsal most prominence of the navicular bone as a landmark. Two independent examiners were blinded to each other’s findings and checked the measurements.
The dorsalis pedis artery was palpable in 78 percent of the extremities and was visible on Doppler ultrasound in 95 percent of them. The left dorsalis pedis artery was found 9.8 (1.4) mm from the dorsal most prominence of the navicular bone by palpation and 11.1 (2.1) mm by Doppler ultrasound. The right dorsalis pedis artery was palpable at 10.4 (3.4) mm and 11.5 (0.7) mm from the navicular bone’s dorsal most prominence. There were no major variations in the position of the dorsalis pedis artery between Doppler ultrasound and palpation bilaterally, and no significant differences were found when comparing contralateral dorsalis pedis arteries or between the examiners’ findings.