Tests to be performed - Radial pulse rate measurement
Equipment - Appropriate analog or digital clock positioned in clear view
Expected findings - Normal pulse rate for age and fitness level
Testing procedures |
- Sit or stand facing your patient.
- Position the patient in a comfortable position and support the extremity with your arm, the exam table, or bed.
- Locate the radial artery with your index and middle fingers.
- Using the first and second fingers, press firmly on the arterial site.
- Once you feel the arterial pulse wave, begin counting for 15, 30, or 60 seconds as described above, and multiply as needed.
- Concentrate on the regularity and volume of the pulse wave once the quantity has been determined.
- Repeat on the contralateral arterial site, and repeat if necessary.
- Document your findings.
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Clinical notes |
- Good clinical habits include evaluating pulses bilaterally. However, it is not advised to check both carotid arteries at the same time due to possible induction of a syncopal (i.e., fainting) episode.
- Be careful when checking the carotid pulse on older adults as pressing too hard can result in dizziness and risk of injury from falling.
- If applicable, grasp the patient's wrist with your non-watch wearing hand.
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