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| − | ===Pulse=== | + | <p>===Pulse=== |
<p>Pulse</p> | <p>Pulse</p> | ||
====Identification==== | ====Identification==== | ||
<p>Identification</p> | <p>Identification</p> | ||
| − | + | <p><b>Value Domain: </b>identifier</p> | |
====Result measurement==== | ====Result measurement==== | ||
<p>Results measurement</p> | <p>Results measurement</p> | ||
| − | + | <p><b>Value Domain: </b>quantity</p> | |
====Date==== | ====Date==== | ||
<p>Date</p> | <p>Date</p> | ||
| − | + | <p><b>Value Domain: </b>datetime</p> | |
====Explanation==== | ====Explanation==== | ||
<p>Explanation</p> | <p>Explanation</p> | ||
| − | + | <p><b>Value Domain: </b>string</p> | |
====Pulse regularity==== | ====Pulse regularity==== | ||
| − | <p>The | + | <p>The normal <span style="box-sizing: border-box;">pulse rhythm</span> is regular, meaning that the frequency of the pulsation felt by your fingers follows an even tempo with equal intervals between pulsations. If you compare this to music, it involves a constant beat that does not speed up or slow down, but stays at the same tempo. Thus, the interval between pulsations is the same. <br clear="none"></br><br clear="none"></br>However, sinus arrhythmia is a common condition in children, adolescents, and young adults. Sinus arrhythmia involves an irregular pulse rhythm in which the pulse rate varies with the respiratory cycle: the heart rate increases at inspiration and decreases back to normal upon expiration. The underlying physiology of sinus arrhythmia is that the heart rate increases to compensate for the decreased stroke volume from the heart’s left side upon inspiration.<br clear="none"></br></p> |
| − | + | <p><b>Value Domain: </b>code</p> | |
| − | + | <p><b>Rationale: </b>Irregularly irregular pulse rhythm is highly specific to atrial fibrillation.</p> | |
| − | + | <p><b>Source: </b>Vital Sign Measurement Across the Lifespan – 1st Canadian edition (https://opentextbc.ca/vitalsign/)</p> | |
| − | + | <p><b>Operationalization: </b>Counting 1 full minute permits a more accurate reading and allows assessment of pulse strength and rhythm.</p> | |
| − | + | <p><b>Concept List</b></p><table class="artdecor zebra-table" width="100%" border="0" cellspacing="1" cellpadding="2" style="background: transparent; border: 1px solid #C0C0C0;"><tr><th style="text-align: left;">Concept</th><th style="text-align: left;">Code</th><th style="text-align: left;">Display Name</th><th style="text-align: left;">Code System</th></tr><tr style="background: transparent;"><td style="vertical-align: top;" rowspan="2">regular</td><td>LA28148-7</td><td>Rhythmic</td><td>Logical Observation Identifier Names and Codes</td></tr><tr style="background: transparent;"><td>162999005</td><td>On examination - pulse rhythm regular (finding)</td><td>SNOMED Clinical Terms</td></tr><tr style="background: #f7f7f7;;"><td style="vertical-align: top;" rowspan="2">irregular</td><td>LA19581-0</td><td>Arrhythmic</td><td>Logical Observation Identifier Names and Codes</td></tr><tr style="background: #f7f7f7;;"><td>275954009</td><td>On examination - irregular pulse (finding)</td><td>SNOMED Clinical Terms</td></tr></table> | |
| + | |||
| + | </p> | ||
| + | <!--f7ee6b71436e7ceca53b79da66a431bdd73fb095--> | ||
Aktuelle Version vom 30. Juni 2020, 18:23 Uhr
===Pulse===
Pulse
Inhaltsverzeichnis
Identification
Identification
Value Domain: identifier
Result measurement
Results measurement
Value Domain: quantity
Date
Date
Value Domain: datetime
Explanation
Explanation
Value Domain: string
Pulse regularity
The normal pulse rhythm is regular, meaning that the frequency of the pulsation felt by your fingers follows an even tempo with equal intervals between pulsations. If you compare this to music, it involves a constant beat that does not speed up or slow down, but stays at the same tempo. Thus, the interval between pulsations is the same.
However, sinus arrhythmia is a common condition in children, adolescents, and young adults. Sinus arrhythmia involves an irregular pulse rhythm in which the pulse rate varies with the respiratory cycle: the heart rate increases at inspiration and decreases back to normal upon expiration. The underlying physiology of sinus arrhythmia is that the heart rate increases to compensate for the decreased stroke volume from the heart’s left side upon inspiration.
Value Domain: code
Rationale: Irregularly irregular pulse rhythm is highly specific to atrial fibrillation.
Source: Vital Sign Measurement Across the Lifespan – 1st Canadian edition (https://opentextbc.ca/vitalsign/)
Operationalization: Counting 1 full minute permits a more accurate reading and allows assessment of pulse strength and rhythm.
Concept List
| Concept | Code | Display Name | Code System |
|---|---|---|---|
| regular | LA28148-7 | Rhythmic | Logical Observation Identifier Names and Codes |
| 162999005 | On examination - pulse rhythm regular (finding) | SNOMED Clinical Terms | |
| irregular | LA19581-0 | Arrhythmic | Logical Observation Identifier Names and Codes |
| 275954009 | On examination - irregular pulse (finding) | SNOMED Clinical Terms |
