apex beat

Ayu Sulaini_Apex Beat*

Ayu Sulaini_Apex Beat

Ayu Sulaini_Apex Beat*ASSESSMENT OF APEX BEAT


LEARNING OUTCOME At the end one hour lecture, the students must be able to:Define apex beat.List the variation of heart beat by age.State the purpose of assessment of apex beat.State the location of assessment of apex beat.State the factor affecting for heart beat.

*Ayu Sulaini_Apex Beat


LEARNING OUTCOMEExplains the nursing management in assessment of apex beat.Demonstrate the technique of assessment of apex beatAppreciate the knowledge of assessment of apex beat.

*Ayu Sulaini_Apex Beat


DEFINITIONAyu Sulaini_Apex Beat*


VARIATIONS OF HEART BEAT BY AGEAyu Sulaini_Apex Beat*

AGE HEAR T RATE AVERAGE (BPM) Newborn130 (80-180)1 year120 (80-140) 5-8 years100 (75-120) 10 years70 (50-90)Teen 75 (50-90)Adult 80 (60-100)Older adult 70 (60-100)


PURPOSE*Ayu Sulaini_Apex Beat


Ayu Sulaini_Apex Beat*FACTOR AFFECTING HEART BEATAGEAGE


LOCATIONAyu Sulaini_Apex Beat*RIGHTLEFTINTERCOSTAL SPACEMID-CLAVICULAR LINE5TH intercostal space1 cm medial to the mid-clavicular line


PURPOSE*Ayu Sulaini_Apex Beat


ASSESSMENTAyu Sulaini_Apex Beat*

ACTIONRATIONALE1. Patient condition

To know the reason for any abnormalities2. Clinical sign of cardiovascular alterations (dyspnea, pallor, cyanosis)3. Factors that may alter heart rate (medication)4. Know the previous heart rate before the actual procedureAs a data baseline5. EnvironmentProvide adequate work space


PLANNINGAyu Sulaini_Apex Beat*


IMPLEMENTATIONAyu Sulaini_Apex Beat*

ACTION RATIONALE1. Greet client and introduce self. Explain to the client regarding the procedure.Get the client cooperate and to reduce patient anxiety.2. Perform hand hygiene.To minimize the organism transmission.3. Provide for client privacy.Maintain the client self-image4. Use antiseptic wipes to clean the earpieces and diaphragm.The diaphragm needs to be cleaned and disinfected, to minimize the organism transmission.5. Standing on the side of the clientAvoid expose other part in order to maintain the privacy of the client.



ACTION RATIONALE6. Locate the apical pulse by:Slide your index finger just to the left of the sternum, and palpate the second intercostal space.Place your middle or next finger in the third intercostal space. Continue palpating downward until you locate the fifth intercostal space.Move your index finger laterally along the fifth intercostal space toward the mid-clavicle line (MCL).

To obtain the accurate result7. Place the diaphragm of the stethoscope over the apical impulse and listen for the normal heart soundsTo listen to heart sounds



ACTION RATIONALE8. Count the heartbeats for 1 minuteProvide a more accurate assessment 9. Comfort the clientEnsure comfort10. Inform the client result11. Document in the client recordAs a documentation


EVALUATIONAyu Sulaini_Apex Beat*

ACTIONRATIONALE1. Relate the result to baseline data and health statusDetect early abnormalities2. Report to the primary provider any abnormal findings.Early treatment, to prevent further complication.


DEMONSTRATIONAyu Sulaini_Apex Beat*


CONCLUSIONDefine apex beat.List the variation of heart beat by age.State the purpose of assessment of apex beat.State the location of assessment of apex beat.State the factor affecting for heart beat.Explains the nursing management in assessment of apex beat.Demonstrate the technique of assessment of apex beatAppreciate the knowledge of assessment of apex beat.



REFERENCESBerman, A., Snyder, S. J., Kozier, B., & Erb, G. (2008). Kozier & Erbs Fundamental of nursing: Concepts, process and practice (8th ed.). New Jersey: Prentice Hall.

Rasnah Abd. Rahman & Salizar Mohamed Ludin (2005). Prosedur kejururawatan menggunakan proses kejururawatan. Selangor,Malaysia:Prentice Hall

Warkman, B., & Bennett, C, L. (2003). Key nursing skills. London: Whurr Publisher.Ayu Sulaini_Apex Beat*


THANK YOU.*Ayu Sulaini_Apex Beat


1. AGES: as age increase, the pulse gradually decrease overall. 2. GENDER: after puberty, the average males pulse male rate is slightly lower than the female. *1. AGES: as age increase, the pulse gradually decrease overall. 2. GENDER: after puberty, the average males pulse male rate is slightly lower than the female. *

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