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Measuring Pulsus Paradoxus: A Step-by-Step Guide

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Medmastery

Unlock the mystery of pulsus paradoxus, one of the keys to diagnosing cardiac tamponade. This quick video guide illustrates the process of measuring this vital sign, which can indicate a significant drop in systolic blood pressure during inspiration. Learn the straightforward method favored by experts: start with an automated blood pressure reading, then manually increase the pressure to 20 mmHg higher than the systolic blood pressure on the automated reading to begin your manual blood pressure measurement. Listen for the first Korotkoff sounds and note this reading. Then listen for the pressure reading when you begin hearing the consistent heartbeat again and note this reading. The pulsus paradoxus measurement is the first measurement, which corresponds to the expiratory systolic pressure, minus the second pressure, which corresponds to the inspiratory systolic pressure. Ready to master this essential skill? Let's get started.

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posted by Dnepradt