Pulse

Pulse: 

1. Rate-count pulse in 30 sec (radial artery) then double .

• Adult= 60-100 Beat/min
• Neonate= 120-160 beat/min
• up to 3 year= 100-120 beat/min
• at 6 year= 80-100 beat/min

2. Rhythn - 

• a.regular 
• b.irregular --premature ventricular contraction(regularly irregular ), Atrial fibrilation(irregularly irregular)

3. Character & Volume.

• a. Normal - catacrotic pulse 
• b. small volume- shock ,aortic stenosis ,pericardial effusion.
• c.High volume pulse- Hyperdynamic circulation,Aortic regurtitation.
• d. Water -hammer pulse(collapsing)-Aortic regurtitation ,Hyperdynamic circulation,Complete heart block,PDA.
• e. Pulsus deficit- atrial fibrilation 

4. Symmetry-- Bilateral symmetrical or radio-femoral delay 

5.Condition of vessel wall -just palpable or cord like in old age

6. Any delay between radial & femoral pulse-- Coartation of aorta