Saturday, December 11, 2010

How to determine the nature of respiration and pulse

Important is the pulse rate and its features. Pulse - jerky vibrations of the walls of blood vessels arising from the heart and depend on the completeness of ejection of blood from the heart into the vascular system.


Arterial pulses are usually palpable in the radial artery. To define it, brush the patient's arm span of the wrist joint so that the thumb is placed on the back of the forearm, and the other fingers pressed against the skin on the front of its surface, where it is felt a pulsing artery.

In healthy subjects the pulse rate corresponds to heart rate and is 60-80 beats per 1 minute. Increased heart rate (and thus heart rate) over 90 in 1 minute is called tachycardia, and curtailment (less than 60 to 1 min) - bradycardia. Usually at night the pulse slows down somewhat, and during the day - some released. In a healthy person and a good rhythmic pulse of the filling, which depends on the power of the discharge capacity of the heart.

With some diseases or injuries pulse can either thicken or slowed. In severe trauma, accompanied by massive bleeding, heart rate sometimes disappears, that is not detectable. It also drops and blood pressure, sometimes to zero. Heart rate may be due to arrhythmic heart rhythm disorders, such as atrial fibrillation or paroxysmal tachycardia.

Under various disease states is necessary to determine certain characteristics of breath. In a normal cycle of respiratory movements, consisting of inhalation and exhalation, repeated rhythmically at rest in healthy people 16-18 times per minute. Night (during sleep) some breathing slowed, and by day, during working hours - some released. Under certain pathological conditions (diseases, severe trauma), the frequency and depth of breathing are violated. It becomes either superficial (in this case is sometimes difficult to determine a person breathes or not), or a deep, noisy, arrhythmic. To determine the disease is characterized by its rhythm, depth and rate of respiration. For example, in certain comatose states violations may take place according to the type of breathing Cheyne-Stokes or Kussmaul breathing. Often the process of respiration is impaired by lesions of certain areas of the central nervous system, more precisely in the brain.

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