PERIPHERAL VASCULAR SYSTEM

PERIPHERAL VASCULAR SYSTEM

1. ASSESSMENT

   • PALPATION
     • BRACHIAL ARTERY
     • CAROTID ARTERY
       • RATE
       • RHYTHM
       • SYMMETRY
       • STRENGTH
       • ELASTICITY
   • AUSCULTATION
     • BLOOD PRESSURE IN BOTH ARMS WHILE THE CLIENT IS SITTING AND STANDING

2. FINDINGS

   • ARTERIAL BLOOD PRESSURE (SITTING)
     • NORMAL
       • MAY BE DIFFERENCE OF 5-10 MMHG BETWEEN BOTH ARMS
       • SYSTOLIC PRESSURE: <120 MMHG
       • DIASTOLIC PRESSURE: <80 MMHG
     • DEVIATION FROM NORMAL
       • MORE THAN 10 MMHG DIFFERENCE BETWEEN BOTH ARMS
       • SYSTOLIC PRESSURE: >120 MMHG
       • DIASTOLIC PRESSURE: >80 MMHG
   • ARTERIAL BLOOD PRESSURE (STANDING)
     • DEVIATION FROM NORMAL
       • SYSTOLIC PRESSURE: DIFFERENCE BETWEEN ARMS OF MORE THAN 15 MMHG
       • DIASTOLIC PRESSURE: DIFFERENCE BETWEEN ARMS OF MORE THAN 5 MMHG
     • NORMAL
       • SYSTOLIC PRESSURE: DIFFERENCE BETWEEN ARMS OF 15 MMHG OR LESS
       • DIASTOLIC PRESSURE: DIFFERENCE BETWEEN ARMS OR 5 MMHG OR LESS
   • CAROTID ARTERY PALPATION
     • NORMAL
       • 60 TO 90 BEATS PER MINUTE: REGULAR, EQUAL STRONG AND ELASTIC
     • DEVIATION FROM NORMAL
       • <60 OR >90 BPM: IRREGULAR, UNEQUAL, WEAK AND THREAD, BOUNDING AND FIRM, IN ELASTIC. PULSE INEQUALITY MAY INDICATE ARTERIAL CONSTRICTION OR OCCLUSION IN ONE CAROTID. WEAK PULSE OCCUR W/ HYPOVOLEMIA, SHOCK OR DECREASED CARDIAC OUTPUT. LOSS OF ELASTICITY MAY INDICATE ARTERIOSCLEROSIS

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