When you stop the pulse by Proximal finger, the systolic pressure (systolic wave) is not reaching at the point of artery where your Middle finger is placed.
Now, you have to press the Middle Finger to COLLAPSE the artery.ĭegree of pressure required to collapse the artery is your observation. Gradually Proximal finger is pressed to stop the pulse coming to Middle finger by giving Optimum pressure. Distal finger is kept pressed (method is same as rate). Tension is the Index of Diastolic blood Pressure. The light pressure is required in hypotensive condition. Normotensive situation will require moderate pressure on proximal finger. If systolic blood pressure is more, more pressure on proximal finger is required. The degree of pressure is fourth parameter of the pulse examination which is corresponding to the Systolic blood pressure. The degree of pressure exerted by Proximal finger is your observation. At one point, pressure will be sufficient to stop the pulse coming to middle finger. Now you have to give pressure by Proximal finger on the artery and increase gradually. Continue palpating the pulse by Middle finger. Best palpation by Middle finger is achieved (method described in rate). Proximal finger is just resting on the skin. Distal finger is kept pressed like the method is described in Rate. This is known as thin and Thready pulse (examples: Cardio vascular shock, Anaphylactic shock, Dehydration-Hypovolaemic shock). Feeble pulse- When stroke volume is less, lifting is poor or less. Radial pulse full#
Full and bounding pulse- Lifting is more that indicates more stroke volume and more cardiac output. Note: When stroke volume is more, amplitude is more, when stroke volume is less, amplitude is less. Observation is made at optimum pressure, when pulse is felt best.ĭegree of lifting of Middle finger is observed. When pulse wave passes below the Middle finger, expansion of the artery is pushing the middle finger upwards which is called LIFTING OF MIDDLE FINGER. Method to examine the amplitude of pulse is same as the rate examination. Amplitude- Lift felt at the middle finger is measurement of it. Volume of pulse shows the cardiac output. Radial pulse rate shows Rhythmicity and heart rate. No specific position of patient required. The pulse felt on the neck is called the Carotid Pulse. The best places to take your pulse are at your wrist, inside the elbow, at the side of your neck or on the top of your foot, groin, on your temple or behind your knees. How many places in the body pulse can be palpated? Methodological requirement of palpating pulseĪrtery- Superficially situated and one which is supported by bones. So, read the article carefully and follow the instructions step by step. This post contains a simple and detailed method to examine the Radial Pulse. Every medical student and practitioner which ever field they belong are required to learn the Radial Pulse and its clinical method of examination.
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