STUDY - Technical - New Dacian's Medicine
Pulse
bounding (Classical / Allopathic Medicine)
Produced
by large waves of pressure as blood ejects from the left
ventricle with each contraction, a bounding pulse is
strong and easily palpable and may be visible over
superficial peripheral arteries. It's characterized by
regular, recurrent expansion and contraction of the
arterial walls, and it isn't obliterated by the pressure
of palpation. A healthy person develops a bounding pulse
during exercise, pregnancy, and periods of anxiety.
However, this sign also results from fever and certain
endocrine, hematologic, and cardiovascular disorders that
increase the basal metabolic rate.
HISTORY:
Ask the patient if he noticed the bounding pulse. If he did, ask how long it has been present and if it's been continuous or intermittent.
Ask the patient if he has noticed palpitations.
If the patient is female, ask if she's pregnant.
Ask the patient if he's experiencing fever, feelings of anxiety or stress, weakness, fatigue, shortness of breath, or other health changes.
Review the patient's medical history for hyperthyroidism, anemia, and cardiovascular disorders.
Obtain a drug history, including prescription and over-the-counter drugs, herbal remedies, and recreational drugs. Also, ask the patient about alcohol intake.
Ask the patient if he noticed the bounding pulse. If he did, ask how long it has been present and if it's been continuous or intermittent.
Ask the patient if he has noticed palpitations.
If the patient is female, ask if she's pregnant.
Ask the patient if he's experiencing fever, feelings of anxiety or stress, weakness, fatigue, shortness of breath, or other health changes.
Review the patient's medical history for hyperthyroidism, anemia, and cardiovascular disorders.
Obtain a drug history, including prescription and over-the-counter drugs, herbal remedies, and recreational drugs. Also, ask the patient about alcohol intake.
PHYSICAL
ASSESSMENT:
When you detect a bounding pulse, check the patient's other vital signs.
Auscultate the heart and lungs for abnormal sounds, rates, and rhythms.
When you detect a bounding pulse, check the patient's other vital signs.
Auscultate the heart and lungs for abnormal sounds, rates, and rhythms.
SPECIAL
CONSIDERATIONS:
If a bounding pulse is accompanied by a rapid or irregular heartbeat, connect the patient to a cardiac monitor for further evaluation.
If a bounding pulse is accompanied by a rapid or irregular heartbeat, connect the patient to a cardiac monitor for further evaluation.
PEDIATRIC
POINTERS:
A bounding pulse can be normal in infants or children because arteries lie close to the skin surface.
A bounding pulse can result from a patent ductus arteriosus if the left-to-right shunt is large.
A bounding pulse can be normal in infants or children because arteries lie close to the skin surface.
A bounding pulse can result from a patent ductus arteriosus if the left-to-right shunt is large.
PATIENT
COUNSELING:
Instruct the patient on what to expect from diagnostic testing, which may include electrocardiography and radiology studies.
Instruct the patient on what to expect from diagnostic testing, which may include electrocardiography and radiology studies.
Bibliography:
1. Rapid Assessment, A
Flowchart Guide to Evaluating Signs & Symptoms, Lippincott
Williams & Wilkins, 2004.
2. Professional Guide to
Signs and symptoms, Edition V, Lippincott
Williams & Wilkins, 2007.
3. Guide to common symptoms,
Edition V, McGraw - Hill, 2002.