pulse rate
The pulse rate test is an auxiliary test method for checking whether the blood vessel is normal. It is the number of pulses per minute. Under normal circumstances, it is consistent with the heart rate, and the ratio to breathing is about 41 to 51. Adults exceed 100 times per minute, called tachycardia, less than 60 times per minute, called bradycardia. There are many diseases in the clinic, especially heart disease that can change the pulse rate. Through this examination, the lesion and the corresponding symptoms can be judged. Basic Information Specialist classification: cardiovascular examination classification: physical examination Applicable gender: whether men and women apply fasting: not fasting Analysis results: Below normal: Increased intracranial pressure, obstructive jaundice, typhoid fever, sick sinus syndrome, II degree or above atrioventricular block, hypothyroidism, etc., or taking certain drugs such as digoxin, propranolol, etc., slow pulse rate . Normal value: Normal: 60-100 times / minute / minute Above normal: Fever, anemia, pain, hyperthyroidism, heart failure, shock, myocarditis, etc., pulse rate increases. negative: Positive: Reminder: During the examination, the patient actively cooperates with the doctor. It is not suitable for strenuous exercise one hour before the examination. It is not appropriate to be overly nervous during the examination, so as not to affect the result. Normal value Normally, the pulse rate of adults is 60-100 beats/min, with an average of 72 beats/min; children are faster, with an average of about 90 beats/min; infants and young children can average 130 beats/min; older people are slower, with an average of about 55 to 60 times / min. Clinical significance Abnormal result 1. Pulse rate increases or slows down 1) Under physiological conditions: women are faster than males, have faster daylight, have slower sleep at night, and increase after meals, after activities, or when they are emotional. 2) Under pathological conditions: the pulse can be increased or slowed down in different diseases and at different times. For example, fever, anemia, pain, hyperthyroidism, heart failure, shock, myocarditis, etc., increased pulse rate; increased intracranial pressure, obstructive jaundice, typhoid fever, sick sinus syndrome, II degree or higher atrioventricular resistance Hysteresis, hypothyroidism, etc., or taking certain drugs such as digoxin, propranolol, etc., the pulse rate is slowed down. 2. Pulse rate and heart rate are inconsistent: In some arrhythmia, such as atrial fibrillation, frequent premature beats, etc., the pulse rate is less than the heart rate. This is because the stroke volume of some heart beats is significantly reduced, so that the peripheral arteries can not produce pulsation, so the pulse rate per minute is less than the number of heart beats, and the pulse strength is different, and the speed is not the same. Regular physical examination items for people who need to be examined, abnormal blood vessels. Low results may be diseases: acquired arteriovenous fistula, hyperthyroidism in the elderly, hyperthyroidism in the elderly, hyperthyroidism in the elderly, shock, high iodine-derived hyperthyroidism, possible disease: plateau insufficiency Precautions Forbidden before examination: Maintain a normal diet and schedule. Requirements for examination: The patient actively cooperates with the doctor during the examination. It is not suitable for strenuous exercise one hour before the examination. It is not appropriate to be overly stressed during the examination, so as not to affect the result. Inspection process 1. The pulse test mainly uses palpation method, and the bedside monitor can also continuously display and record the pulse beat condition, and directly observe the pulse frequency change. 2. When checking the pulse, you must choose a superficial artery, usually with a radial artery. In special cases, the radial, carotid, radial, femoral, and dorsal arteries can also be examined. 3. The examiner's fingers are put together, and the index finger, middle finger and ring finger are placed flat on the wrist near the wrist, and the pulse beat is carefully felt. 4. Both sides must be palpated for comparison. The difference between the two sides of the normal person is small and difficult to detect. In some diseases, there is a significant difference in pulse on both sides. The pulse on both sides is not strong, or there is no pulse on one side. Not suitable for the crowd Inappropriate people: severe blood vessels and heart failure.
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