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
Mar 21, '04Joined: Apr '00; Posts: 24,611; Likes: 35,449Quote from CCU NRSisn't the valsalva maneuver the same thing as bearing down trying to have a bm?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.
Mar 21, '04Occupation: CCU NRS Joined: May '01; Posts: 1,976; Likes: 89Quote from earle58It 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.isn't the valsalva maneuver the same thing as bearing down trying to have a bm?
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 and speed typing errors LOLLast edit by CCU NRS on Mar 21, '04