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Pulse Amplitude Scale
- 0 - Absent
- 1 - diminished
- 2 - normal
- 3 - moderately increased
- 4 - markedly increased
Heart Rate Norms
- Infant: 100-130
- Child: 80-100
- Adult: 60-100
Slow Heart Rate
Fast Heart Rate
Where do you find the brachial pulse?
Under the bicep on medial aspect of humerus
Where do you find the femoral pulse?
Next to the weenis
Where do you find the Doral Pedal Pulse?
Top center of the foot
Where do you find the popliteal pulse?
In the leg pit
How do you find Maximal HR?
How do you find taget HR?
- 60-80% Max HR
- (.6)(220-age)=lowest target
- (.8)(220-age)=highest target
What are blood pressure norms?
- Infant: 60 to 90/30 to 55
- Child: 90 to 110/50 to 70
- Adult: 100 to 140/60 to 90
Systolic vs Diastolic
- Systolic: pressure on arterial walls when heart is contracted
- Diastolic: pressure on arterial walls when heart is at rest
- Blood pressure: systolic/diastolic
- Prehypertension: 120-139/80-89
- Stage 1 Hypertension: 140-159/90-99
- Stage 2 Hypertension: 160+/100+
- Infants: 30-50/min
- Adults: 12-18/min
- 98.6F or 37C
- Afebrile (less than 100) vs Febrile (over 100)
Active vs Passive Insufficiency in 2 joint muscles
- Active: Lack of muscle strength
- Passive: Lack of muscle length
- Patient lies on their back with butt near the edge of the bed. The pt then pulls the knee to the chest.
- If the other leg stays on the table (approx -10) all is good
- If the leg raises then the iliopsoas is tight
- If the knee attempts to extend the rectus femoris is tight.
- If the leg moves outward, the IT Band is tight
- Patient lies on side with uninvolved leg on the mat flexed @ 90 & 90
- The Involved leg is then abducted, flexed 90 at knee and then extended back beyond 0. The leg is then lowered toward the mat.
- If the leg lowers, no contracture is present
- If the leg does not lower, IT Band or TFL could have contracture.
- Pt is placed prone and foot is brought up to 90
- If the ASIS stays on the table, everything is fine
- If the hip raises, there is a tight Rectus Femoris
ROM & Functional Values
- Descending stairs: 86-107 (approximately 100) degree of knee flexion
- Transferring from sit to stand: approximately 90-95 degrees of knee flexion
- Drinking from a cup: approximately 130 degrees of elbow flexion and 50 degrees of shoulder flexion
- Fastening a bra: approximately 55 degrees extension, 70 degrees horizontal abduction, and nearly complete medial rotation
- Motion: None
- Structure: Fibrous-Suture
- Example: Skull
- Motion: Slight
- Structure: Fibrous – Ligamentous
- Example: distal tibiofibular
- Motion: None
- Stucture: Peg-in-socket
- Example: Tooth
- Motion: Little
- Structure: Cartilaginous
- Example: Intervertebral disks
- Motion: Free
- Structure: Synovial
- Example: Hip, Elbow, Knee
- Press into a swollen area & the impression stays
- Bilateral = cardiac failure, liver, renal conditions
- Unilateral = obstruction of returning circulation