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audible brachial pulse

Cardiac   (4,036 Views 5 Comments)
by blanck4 blanck4 (New) New

blanck4 has 7 years experience .

712 Profile Views; 2 Posts

I had a pt who has a very audible brachial pulse! I applied the cuff as normal, inflated the cuff and got the systolic pressure and continued to hear the pulse to past 0! Ok I thought I lost something....Went to recheck on RAC and realized I could hear her brachial pulse faintly in the right arm and strongly on the left arm WITHOUT inflation of the cuff! Based on her previous symptoms, diagnosis, and risk factors; patient had visit with EMT's. BUT this RN requests info from cardiac RN's on why my patient has audible brachial pulses???? HX: CAD, HTN, DM, MI's, Neuropathy.....Can anyone explain what the audible pulse could mean, I have never experienced this and I have had many end stage disease pts...Always trust a littman!!

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lovingtheunloved has 12 years experience as a ASN, RN and specializes in LTC, home health, critical care.

936 Posts; 10,025 Profile Views

It may not mean anything. Some people just have strong pulses.

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blanck4 has 7 years experience.

2 Posts; 712 Profile Views

This particular patient has NEVER had audible brachial pulses, in fact, her apical pulse is at times difficult to hear without changes in position.

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iluvivt has 32 years experience as a BSN, RN and specializes in Infusion Nursing, Home Health Infusion.

2,728 Posts; 24,661 Profile Views

The artery could be aberrant and close to the surface. If it is a big change for the patient it could indicate an occlusion in the artery so depending on the patient's history they may want to do further testing. Has the patient recently lost a lot of weight? Has the patient recently had changes in her medications?

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BelgianRN has 6 years experience and specializes in GICU, PICU, CSICU, SICU.

190 Posts; 7,189 Profile Views

You can only hear audible arterial pulses when the bloodflow is somehow obstructed. There are multiple reasons: pressure from your stethoscope on a superficial artery, partially clogged artery, aneurysmatic deformation, AV-malofrmation to name a few.

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