Pulses examination.pptx and pdf by Dr Khansa

cardiovascular system:
pulses examination';
rate
rhythm
volume
character

1. Pulses examination cardiovascular system By Dr KHANSA

2. Sites for pulses examination

3. Points under consideration while examining pulse: Rate Rhythm Character Volume

4. RATE Is the pulse fast?(>100bpm,p126) Is the pulse slow?(<60bpm,p124)

5. Rhythm Regularly regular pulse: occurs in second degree heart block ventricular bigeminus Irregularly irregular pulse: occurs in atrial fibrillation multiple ectopics

6. Character and volume Bounding pulses: CO2 retention liver failure Sepsis Small volume pulses : Aortic stenosis Shock Pericardial effusion Collapsing pulses( waterhammer ): Aortic incompetence AV malformations PDA Anacrotic (slow rising )pulses: Aortic stenosis

7. Bisferiens pulses Combined aotic stenosis and aortic regurgitation Pulsus Alternans (alternating strong and weak beats) LVF Cadiomyopathy Aotic stenosis Jerky pulses HOCM Pulsus paradoxus ( systolic pressure weakens by >10mmHg) Severe asthma Pericardial constriction Cardiac temponade

8. Thank you Dr KHANSA