Assess CirculationAssess Circulation•Assess pulse–The pulse is the pressure wave that occurs as each heartbeat causes a surge in the blood circulating through the arteries.–Palpate (feel) the pulse.–If you cannot palpate a pulse in an unresponsive patient, begin CPR.
Assess Circulation Assess Circulation •Pulse rate–Normal resting pulse for an adult is between 60 and 100 beats/min.–The younger the patient, the faster the pulse.
Assess Circulation Assess Circulation •Pulse quality–Describe a stronger than normal pulse as “bounding.”–A pulse that is weak and difficult to feel is described as “weak” or “thready.”
Assess CirculationAssess Circulation•Pulse rhythm–Determine whether it is regular or irregular.–When the interval between each ventricular contraction is short, the pulse is rapid.–When the interval is longer, the pulse is slower.
Assess CirculationAssess Circulation•The skin–A normally functioning circulatory system perfuses the skin with oxygenated blood.–Evaluate the patient’s skin color, temperature, moisture, and capillary refill.
Assess Circulation Assess Circulation •Skin color–Determined by the blood circulating through vessels and the amount and type of pigment present in the skin–Poor circulation will cause the skin to appear pale, white, ashen, or gray.
Assess Circulation Assess Circulation •Skin temperature–Normal skin will be warm to the touch (98.6°F).–Abnormal skin temperatures are hot, cool, cold, and clammy.•Skin moisture–Dry skin is normal.–Skin that is wet, moist, or excessively dry and hot suggests a problem.
Assess Circulation Assess Circulation •Capillary refill–Evaluated to assess the ability of the circulatory system to restore blood to the capillary system–Press on the patient’s fingernail.–Remove the pressure.–The nail bed should restore to its normal pink color.–Should be restored to normal within 2 seconds
Assess CirculationAssess Circulation•Assess and control external bleeding.–Bleeding from a large vein is characterized by a steady flow of blood.–Bleeding from an artery is characterized by a spurting flow of blood.
Assess CirculationAssess Circulation•Controlling external bleeding can be simple.–Apply direct pressure.–If bleeding from the arms or legs, elevate the extremity.–When direct pressure and elevation are unsuccessful, apply a tourniquet.
Perform a Rapid ScanPerform a Rapid Scan•Scan the body to identify injuries that must be managed or protected immediately.–Take 60 to 90 seconds to perform.–Not a focused physical examination
Determine Priority of Patient Care and Transport Determine Priority of Patient Care and Transport •Rapid scan assists in determining transport priority.
- Fall '14
- pulse, airway obstruction, special challenges, Assess Circulation