Long-Term Care

This week's tip: Pulse check

LTC Nursing Assistant Trainer, August 2, 2007

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Normal pulse ranges from approximately 60 BPM-100 BPM, but this can vary by about 10%. CNAs should be aware of the following clinical presentations may indicate an acute condition change and should be assessed further:

  • Sustained change from normal range
  • Change in usual pulse rhythm or regularity
  • Pulse > 120 BPM or < 50 BPM (use facility criteria; many facilities use > 100 BPM or < 60 BPM)
  • Pulse > 100 BPM combined with other symptoms (e.g., palpitations, dyspnea, or dizziness)



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