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The pulse should be described as weak, faint, strong, or bounding. A weak pulse would be difficult to feel. A faint pulse would be slightly more noticeable, but still lack strength. A strong pulse would be easiest to locate and measure.
Assess the pulse quality: Pay attention to the strength and regularity of the pulse. Note whether it is bounding, weak, or absent. You can use a scale (such as 0-4+) to document the strength of the pulse. Document the findings: Record your findings in the patient's medical chart or exam notes.
The pulse rate is counted by starting at one, which correlates with the first beat felt by your fingers. Count for thirty seconds if the rhythm is regular (even tempo) and multiply by two to report in beats per minute. Count for one minute if the rhythm is irregular.
The general approach to assessment includes a systematic examination of the pulses, distally to proximally. This allows for the most objective assessment of pulses from their weakest point to the strongest. The quality of the pulses, size of the arteries, and symmetry is important to note.
Sample Documentation of Expected Cardiac & Peripheral Vascular Findings. Patient denies chest pain or shortness of breath. Vital signs are within normal limits. Point of maximum impulse palpable at the fifth intercostal space of the midclavicular line.
The pulse strength is described either numerically or by using the descriptions of 4+ (bounding), 3+ (increased), 2+ (normal), 1 + (weak), or 0 (absent). Pulses that are stronger or weaker than normal may be signs of underlying pathology.
Pulse Rate. The pulse rate is counted by starting at one, which correlates with the first beat felt by your fingers. Count for thirty seconds if the rhythm is regular (even tempo) and multiply by two to report in beats per minute. Count for one minute if the rhythm is irregular.
Strength: The force or amplitude of the pulse, ranging from weak or thready to strong or bounding. Equality: Comparing the strength and quality of pulses bilaterally to assess for any asymmetry or significant differences.
Learn the basics of pulse character and overall assessment, including rate, rhythm, volume, and character of pulse (e.g. Waterhammer, slow-rising, bisfiriens).
In this short video, we break down the pulse strength scale from 0 to 4+ to help you understand what each level indicates about a patient's health. Learn how...