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nursing profession is one of the most significant skills in the world(part 12)

 

physical condition of a sick person:

Pulse

A normal resting pulse rate for adults typically ranges from 60 to 100 beats per minute, although this can vary depending on factors such as age, fitness level, and underlying health conditions. A pulse rate that is too high (tachycardia) or too low (bradycardia) could indicate an underlying health issue.

When a person is sick, changes in their pulse can indicate various things:

1.              Fever: An elevated pulse rate might be seen in individuals with a fever, as the body's metabolism increases to fight off infections.

2.              Dehydration: A weak and rapid pulse could be a sign of dehydration, as the body tries to compensate for the lack of fluid volume.

3.              Infections: Certain infections, especially severe ones like sepsis, can cause changes in pulse rate due to the body's immune response.

4.              Heart Conditions: Sick individuals with pre-existing heart conditions might experience changes in their pulse due to the stress on the cardiovascular system.

5.              Respiratory Distress: In cases of respiratory illnesses or conditions like pneumonia, the body might increase the pulse rate to help compensate for reduced oxygen levels.

6.              Pain: Pain, especially acute or severe pain, can lead to an elevated pulse rate as the body reacts to the stress.

7.              Stress and Anxiety: Emotional and psychological factors, such as stress and anxiety, can also influence the pulse rate.

8.              Medications: Some medications, particularly those that affect heart rate, can lead to changes in pulse rate in sick individuals.

 

technology of pulse feeling

There are several methods and devices that utilize various technologies to accomplish this. Here are some common technologies used for pulse detection:

1.              Contact Sensors:

·       Pulse Oximeters: These devices use light absorption to measure the oxygen saturation of the blood, as well as the pulse rate. They typically use LED lights to shine through the skin and detect changes in light absorption caused by the pulsating blood.

·       Fingertip Sensors: Some smartphones and wearable devices have built-in sensors that use optical or photoplethysmography (PPG) technology to detect changes in blood volume in the fingertip, which correlates with the pulse rate.

2.              Wearable Devices:

·       Smartwatches and Fitness Trackers: Many modern wearable devices include sensors that can measure heart rate and pulse using optical technology. These devices often use green LED lights to measure blood flow changes in the wrist.

3.              Medical Monitors:

·       Electrocardiogram (ECG or EKG): ECG devices measure the electrical activity of the heart and can be used to derive the heart rate and rhythm accurately. These are often used in medical settings and can provide detailed information about cardiac health.

·       Holter Monitors: These are portable ECG devices worn by patients for an extended period to monitor heart activity continuously, including pulse rate.

4.              Camera-Based Technologies:

·       Computer Vision: Some research and technology developments explore using cameras to analyze subtle color changes in the skin caused by blood flow. This can be used to estimate pulse rate without direct contact with the skin.

5.              Radar Technology:

·       Microwave Doppler Radar: Research is ongoing in using radar technology to measure pulse rate. These systems detect slight movements caused by the pulsating blood flow.

6.              Ultrasound:

·       Doppler Ultrasound: Doppler ultrasound can be used to measure blood flow and pulse in various parts of the body. It's commonly used in medical settings to assess blood circulation.

 

pulse rate

Pulse rate refers to the number of times a person's heart beats per minute. It is commonly used as an indicator of cardiovascular health and can provide insights into a person's overall well-being. The pulse rate reflects the rhythm of the heart and the circulation of blood throughout the body.

To measure pulse rate, you typically find a pulse point in the body, where an artery is close to the skin's surface. The most common pulse point is the radial artery on the wrist, which is located on the thumb side of the wrist. Other commonly used pulse points include the carotid artery in the neck and the brachial artery in the upper arm.

To measure pulse rate manually:

1.              Find the Pulse Point: Place your index and middle fingers gently on the pulse point you've chosen (e.g., wrist, neck, or arm).

2.              Count the Beats: Using a timer, count the number of beats you feel within a 60-second period. Alternatively, you can count the beats for 15 seconds and then multiply by 4 to get the beats per minute.

3.              Record the Result: The number you obtain is the pulse rate, expressed in beats per minute (bpm).

A normal resting pulse rate for adults typically ranges from 60 to 100 bpm. However, many factors can influence pulse rate, including age, fitness level, medications, stress, physical activity, and health conditions.

 

pulse rhythm

Pulse rhythm refers to the pattern or regularity of the beats that you feel when you measure someone's pulse. It indicates whether the time between each heartbeat is consistent or if there are irregularities in the timing. Pulse rhythm is an important aspect of assessing cardiovascular health and can provide insights into various heart conditions.

There are a few different terms used to describe pulse rhythm:

1.              Regular: In a regular pulse rhythm, the time between each heartbeat is consistent. Each beat occurs at a fairly even interval, and there are no noticeable irregularities.

2.              Irregular: An irregular pulse rhythm means that the time between heartbeats is not consistent. There may be occasional skipped beats or changes in the interval between beats.

3.              Regularly Irregular: This describes a pulse rhythm that has a pattern of irregularity. For example, a regularly irregular rhythm might have a consistent pattern of skipped beats.

4.              Irregularly Irregular: In this case, there is no discernible pattern to the irregularities in the pulse rhythm. The intervals between heartbeats vary without a consistent pattern.

Irregular pulse rhythms can be indicative of various conditions, including:

  • Atrial Fibrillation (AFib): AFib is a common irregular heartbeat that can lead to an increased risk of stroke and other heart-related complications.
  • Premature Contractions: Sometimes, the heart's electrical system can cause premature contractions, leading to irregularities in the pulse rhythm.
  • Heart Block: This is a condition where the electrical signals that control the heart's rhythm are delayed or blocked, leading to irregular heartbeats.
  • Arrhythmias: Various types of arrhythmias can cause irregular pulse rhythms. These can range from benign conditions to more serious ones.

 

pulse quality

Pulse quality refers to the characteristics of the pulse that you feel when you assess someone's heartbeat. It goes beyond just measuring the pulse rate or rhythm and involves evaluating the strength, amplitude, and other attributes of the pulse. Pulse quality can provide additional insights into a person's cardiovascular health and overall well-being.

Different terms are used to describe pulse quality:

1.              Strong: A strong pulse is one that is easily palpable and feels forceful. It indicates good blood flow and is often associated with a healthy cardiovascular system.

2.              Weak: A weak pulse is faint and not easily felt. It can indicate reduced blood flow, which might be caused by factors like low blood pressure, dehydration, or certain medical conditions.

3.              Bounding: A bounding pulse is one that feels unusually strong and forceful. It can be a sign of increased blood volume or certain medical conditions.

4.              Thready: A thready pulse is one that feels weak and thin, like a thread. It can be associated with conditions that affect blood flow or the elasticity of blood vessels.

5.              Regular: This refers to a pulse with consistent intervals between beats, indicating a regular heart rhythm.

6.              Irregular: An irregular pulse might have varying intervals between beats, suggesting an irregular heart rhythm.

7.              Intermittent: An intermittent pulse is one that is present at times and absent at other times. It can be associated with conditions that cause occasional heart pauses or skipped beats.

 

blood pressure

Blood pressure is a crucial indicator of cardiovascular health and reflects the force of blood against the walls of arteries as the heart pumps it throughout the body.

Blood pressure is typically measured using two values:

1.              Systolic Pressure: This is the higher number and represents the pressure in the arteries when the heart contracts and pumps blood.

2.              Diastolic Pressure: This is the lower number and represents the pressure in the arteries when the heart is at rest between beats.

Blood pressure is measured in millimeters of mercury (mmHg). For example, a typical blood pressure reading might be written as "120/80 mmHg," where 120 is the systolic pressure and 80 is the diastolic pressure.

Here's a general guideline for blood pressure categories in adults:

  • Normal: Systolic <120 mmHg and Diastolic <80 mmHg
  • Elevated: Systolic 120-129 mmHg and Diastolic <80 mmHg
  • Hypertension Stage 1: Systolic 130-139 mmHg or Diastolic 80-89 mmHg
  • Hypertension Stage 2: Systolic ≥140 mmHg or Diastolic ≥90 mmHg
  • Hypertensive Crisis: Systolic >180 mmHg and/or Diastolic >120 mmHg

 

 

technique of measuring blood pressure

The technique of measuring blood pressure is called sphygmomanometry. It involves using a device called a sphygmomanometer, which consists of an inflatable cuff, a pressure gauge (manometer), and sometimes a stethoscope. The process typically involves the following steps:

1.              Preparation:

·       Make sure the individual is in a comfortable and relaxed position, usually sitting with their back supported and feet flat on the ground.

·       They should avoid talking or moving during the measurement, as these activities can affect the accuracy of the reading.

2.              Selecting the Cuff:

·       Choose the appropriate cuff size for the individual's arm. An ill-fitting cuff can lead to inaccurate readings.

·       The bladder of the cuff should cover about 80% of the upper arm's circumference.

3.              Applying the Cuff:

·       Place the cuff around the upper arm, about an inch above the elbow. The lower edge of the cuff should be positioned about 2-3 cm above the bend of the elbow.

4.              Positioning the Stethoscope:

·       If using a manual sphygmomanometer, place the earpieces of the stethoscope in your ears.

·       Position the stethoscope's chest piece (diaphragm) over the brachial artery, which is found on the inner side of the arm, just below the cuff.

5.              Inflating the Cuff:

·       Close the valve on the bulb of the sphygmomanometer to prevent air from escaping.

·       Inflate the cuff by squeezing the bulb. Watch the pressure gauge to note the pressure rising.

6.              Listening for Sounds:

·       While slowly releasing the pressure from the cuff (by opening the valve), listen for the Korotkoff sounds with the stethoscope.

·       The first sound you hear is the systolic blood pressure, which indicates the pressure in the arteries when the heart is contracting and pumping blood.

·       The point at which the sounds become more continuous, without distinct thumping, is the diastolic blood pressure. This indicates the pressure in the arteries when the heart is relaxing between beats.

7.              Recording the Reading:

·       Note the pressure reading on the manometer at the onset of the first sound (systolic) and when the sounds disappear (diastolic).

·       The blood pressure is recorded as systolic/diastolic, for example, "120/80 mmHg."

8.              Deflating the Cuff:

·       Open the valve completely to release the remaining air from the cuff.

Formularbeginn

 

normal blood pressure values

Normal blood pressure values can vary slightly depending on guidelines from different medical organizations.  generally accepted normal blood pressure values for adults are as follows:

  • Systolic Pressure: Less than 120 mmHg
  • Diastolic Pressure: Less than 80 mmHg

Blood pressure is usually expressed as systolic over diastolic, like "120/80 mmHg."

Here's a breakdown of blood pressure categories:

  • Normal: Systolic <120 mmHg and Diastolic <80 mmHg
  • Elevated: Systolic 120-129 mmHg and Diastolic <80 mmHg
  • Hypertension Stage 1: Systolic 130-139 mmHg or Diastolic 80-89 mmHg
  • Hypertension Stage 2: Systolic ≥140 mmHg or Diastolic ≥90 mmHg
  • Hypertensive Crisis: Systolic >180 mmHg and/or Diastolic >120 mmHg

Please note that individual circumstances and health conditions can influence what's considered normal for an individual. Additionally, blood pressure can fluctuate throughout the day based on factors such as stress, physical activity, and recent meals.

 

hypertension

Hypertension, commonly known as high blood pressure, is a medical condition characterized by consistently elevated levels of blood pressure in the arteries. It's a significant risk factor for various cardiovascular diseases and can potentially lead to serious health complications if left untreated.

There are two main types of hypertension:

1.              Primary (Essential) Hypertension: This is the most common type of hypertension and often develops over time without a specific identifiable cause. It's influenced by factors such as genetics, age, diet, lifestyle, and other environmental factors.

2.              Secondary Hypertension: This type of hypertension is caused by an underlying medical condition or external factor, such as kidney disease, hormonal disorders, certain medications, or other health issues.

Hypertension is often referred to as the "silent killer" because it usually doesn't cause noticeable symptoms until it has reached an advanced stage. If left untreated, it can damage blood vessels, the heart, and other organs, increasing the risk of:

  • Heart disease, including heart attacks and heart failure
  • Stroke
  • Kidney damage
  • Vision problems
  • Peripheral artery disease
  • Aneurysms (abnormal bulges in blood vessels)
  • Cognitive decline

To diagnose hypertension, blood pressure measurements are taken on multiple occasions to ensure accuracy. Lifestyle changes and, in some cases, medication are commonly recommended for managing hypertension. Lifestyle modifications may include:

  • Adopting a heart-healthy diet (such as the DASH diet)
  • Increasing physical activity
  • Reducing salt intake
  • Limiting alcohol consumption
  • Quitting smoking
  • Managing stress

Medications might be prescribed if lifestyle changes alone are not sufficient to control blood pressure. Different types of antihypertensive medications are available, and the choice depends on factors such as the individual's overall health and any other medical conditions they might have.

 

hypotension

Hypotension, also known as low blood pressure, is a medical condition characterized by blood pressure that is lower than the normal range. While high blood pressure (hypertension) is a more common concern, low blood pressure can also have implications for a person's health and well-being.

Low blood pressure is generally defined as a systolic pressure (the top number) below 90 mmHg and a diastolic pressure (the bottom number) below 60 mmHg. However, what's considered low blood pressure can vary among individuals, as some people naturally have lower blood pressure without experiencing any symptoms or health issues.

Symptoms of hypotension might include:

  • Dizziness or lightheadedness, especially upon standing up (orthostatic hypotension)
  • Fainting or near-fainting (syncope)
  • Blurred vision
  • Fatigue
  • Nausea
  • Cold, clammy skin
  • Rapid or shallow breathing

There are various potential causes of hypotension:

1.              Dehydration: Insufficient fluid intake can lead to reduced blood volume and lower blood pressure.

2.              Medications: Certain medications, such as antihypertensives, diuretics, and alpha-blockers, can cause a drop in blood pressure.

3.              Heart Problems: Heart conditions that weaken the heart's pumping ability, such as heart failure, can result in low blood pressure.

4.              Endocrine Disorders: Hormonal imbalances, such as adrenal insufficiency or thyroid disorders, can lead to hypotension.

5.              Blood Loss: Significant bleeding, whether from an injury, surgery, or internal bleeding, can cause a drop in blood pressure.

6.              Neurological Conditions: Conditions that affect the autonomic nervous system, like Parkinson's disease or multiple system atrophy, can lead to low blood pressure.

7.              Infection: Serious infections can cause a drop in blood pressure due to changes in blood vessel function.

8.              Pregnancy: Blood pressure can decrease during the early stages of pregnancy.

 

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