Clinical Skills

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Put the steps in order for palpating pulses

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Klik en sleep

Wash hands, introduce yourself, patient's name and DOB

Thank patient and wash hands

Explain to patient what you are going to do - palpate carotid pulses

Feel 2cm below and 2cm behind the bony part on the side of the ankle for the posterior tibial pulses. Assess both

Say you would do radio-femoral delay (causes can be coarctation of the aorta distal to the subclavian artery)

Flex patient's knee to 30'. Put thumbs in front of knee and fingers behind and palpate BOTH popliteals

Count pulse over 15s and multiply by 4 unless irregular, then you must assess for 1 minute

Place pads of two fingers over the right radial artery and assess rate and rhythm and volume

Check patient doesn't have should pain - collapsing pulse

Explain procedure, gain consent

Correct exposure and end of bed inspection

Listen for carotid bruits with diaphragm of stethoscope while patient holds their breath

Radio-radial delay (causes can be coartctation of aorta proximal to subclavian artery)

Assess both dorsalis pedis pulses - high up foot between big toe and the next tow

Palpate brachial pulse and assess character and volume - more reliable here


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