I had a college professor whom, when he rested his hands behind his head, I could watch the radial arteries on his hands pulsate.
For most patients, finding the patient鈥檚 radial pulse is fairly easy. Print a copy of these tips for your pocket.
If you are having trouble finding a conscious patient鈥檚 radial pulse, try these five tips:
- Move long sleeve clothing, gloves, mittens watches or jewelry out of the way. It is important to palpate (to feel) the patient鈥檚 bare skin.
- Cock or extend the patient鈥檚 wrist to bring their radial artery closer to the surface.
- Palpate the distal end of the radius; then slowly draw two or three of your fingers towards the radial artery. Move your fingers proximally as you lightly scan to locate the patient鈥檚 radial artery. If that doesn鈥檛 work try to;
- Palpate the base of the patient鈥檚 thumb; then draw two or three fingers proximally towards the radial artery.
- If you are still having trouble, use a pulse oximeter or auscultate the patient鈥檚 heart to get a feel for the rhythm and rate of heartbeat you are attempting to palpate.
If you are unable to find the radial pulse on one wrist, switch to the patient鈥檚 other wrist. Once you have found a difficult to find radial pulse, consider using a ballpoint or felt pen to make a light mark at the pulse location in order to make reassessment easier.
What else works well for finding a radial pulse? Why might a radial pulse be absent or diminished?
Share your radial pulse and vital sign assessment tips in the comments area. Also check out these tips to find a patient鈥檚 pedal pulse.
This article, originally published April 9, 2009, has been updated
