Carotid Massage - very cool! - page 2

I'm had a post-op ortho patient with no previous cardiac hx yesterday that became so tachy her HR was hard to count. I called the orthopedic surgeon who ordered a stat EKG and crit. The EKG showed... Read More

  1. by   leslie :-D
    Quote from CCU NRS
    Remember you can always have the Pt bear down as if trying to have a BM, and if you are trying to take a pulse there is no rule against attempting to find it in the carotid. As mentioned by Cheri P the Pt can also message their own carotid as long as they are in a hospital setting and being monitored I have no problem with a Pt attempting this. I a not sure how great the risk is mentioned by Vicky of (A piece of plaque could break off from the carotid arteries and travel upstream.)but I do know that Physicians instruct young Pts to perform this manuever themselves frequently. It is not approved Nursing technique also as mentioend by Vicky.
    isn't the valsalva maneuver the same thing as bearing down trying to have a bm?
  2. by   CCU NRS
    Quote from earle58
    isn't the valsalva maneuver the same thing as bearing down trying to have a bm?
    It has come to be called one and the same but in Tabers the actual method of Valsalva is: Attempt to forcibly exhale with the glottis, nose and mouth closed.

    It is basically what has evolved but no one ever closes off the nose and you get the same result i would say. I just hadn't noticed anyone suggesting it prior to my mentioning it.

    edited to correct late night spelling and speed typing errors LOL
    Last edit by CCU NRS on Mar 21, '04

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