I dunno how to palpate an apical pulse. Help?

Nursing Students Student Assist

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Hi all.

I know that the Apical Pulse or PMI or mitral valve or whatever you want to call it is located at the left 5th intercostal space, midclavicular line. Right?

Well I can never seem to feel it. Because on women, it's where their boobs are! And on men, they've got a huge pile of muscle there. And I know if you can you're supposed to try to lift the breast out of the way right? But unless I'm mistaken, it's smack dab under it a lot of the time. I'm as skinny and flat-chested as they come, and I have trouble finding it on myself.

Any tips? =/

Thanks,

drenched

P.S. Ahhh....my boards are in 9 hours! *scurries off to cramming*

Specializes in Trauma,ER,CCU/OHU/Nsg Ed/Nsg Research.

They are located in the same place, but officially the apical pulse is auscultated, and the PMI is palpated/inspected.

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