Normal Radial Pulse

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The arteries are the vessels with the 'pulse,' a rhythmic pushing of the blood in the heart followed by a refilling of the heart chamber. To determine heart rate, one counts the beats at a pulse point like the inside of the wrist for 10 seconds, and multiplies this number by 6. This is the per-minute total.

  1. Normal Radial Pulse Number
  2. Normal Radial Pulse For Elderly
Client Observations, HLTENN003

Measuring Radial Pulse and Respirations

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Respirations and pulse rates are measured as part of the vital signs skill set.

Respirations: The process of respiration culminates in the exchange of oxygen and carbon dioxide in the lungs. This is achieved by the cardiovascular system and the respiratory system working together (Koutoukidis, Stainton & Hughson 2017). Assessment of respirations determines whether a person is receiving adequate oxygen or not. A nurse must use their sense of touch, sight and hearing to assess the rate, rhythm, depth and sound of a client’s respiration.

In a healthy adult, normal respirations should be within the range of 12–20 breaths per minute (Koutoukidis et al. 2017).

  • The apical pulse is palpated in count the pulse rate in infants. Characteristics of the Pulse Before assessing the pulse, nurse must be familiar with the normal characteristics of a pulse – the rate, rhythm, volume and tension. Rate Rate is the number of pulse beats in a minute. The normal rate in the resting adult is 60 to 100 per minute.
  • An ‘average’ adult has a pulse rate of about 72 beats each minute. Infants have a much higher pulse rate than an adult. Below are the normal pulse rate ranges based upon age in beats per minute (BPM). Adults: 60 to 100 BPM.

Pulse: Measurement of the pulse involves palpating an artery as it passes over a hard surface at specific sites around the body. The most commonly assessed pulse is the radial pulse, which is palpated in the wrist in alignment with the thumb. This observation is included when measuring a person’s vital signs. A nurse or healthcare provider must use their sense of touch to accurately count a pulse for 60 seconds—referred to as the pulse rate—and document this on the appropriate chart.

While counting the pulse rate, a nurse is also assessing the rhythm and volume of the pulse they are feeling. For example, the pulse may feel strong or weak, bounding or thready.

A normal pulse rate (Koutoukidis et al. 2017) in a healthy adult is between 60 and 100 bpm (beats per minute).

Pulse & Heart Rate

Overview

What is your pulse?

Your pulse is your heart rate, or the number of times your heart beats in one minute. Pulse rates vary from person to person. Your pulse is lower when you are at rest and increases when you exercise (more oxygen-rich blood is needed by the body when you exercise). Knowing how to take your pulse can help you evaluate your exercise program.

How to take your pulse

  1. Place the tips of your index, second and third fingers on the palm side of your other wrist below the base of the thumb. Or, place the tips of your index and second fingers on your lower neck on either side of your windpipe.
  2. Press lightly with your fingers until you feel the blood pulsing beneath your fingers. You may need to move your fingers around slightly up or down until you feel the pulsing.
  3. Use a watch with a second hand, or look at a clock with a second hand.
  4. Count the beats you feel for 10 seconds. Multiply this number by six to get your heart rate (pulse) per minute.

Count your pulse: _____ beats in 10 seconds x 6 = _____ beats/minute

What is a normal pulse?

Normal heart rates at rest:

  • Children (ages 6 - 15) 70 – 100 beats per minute
  • Adults (age 18 and over) 60 – 100 beats per minute

Test Details

What is maximum heart rate?

The maximum heart rate is the highest heart rate achieved during maximal exercise. One simple method to calculate your predicted maximum heart rate, uses this formula: Sid meiers pirates mac download free.

Normal Radial Pulse Number

220 - your age = predicted maximum heart rate

Example: a 40-year-old's predicted maximum heart rate is 180 beats/minute.

There are other formulas that take into account the variations in maximal heart rate with age and gender. If you are interested in learning more about these more accurate but slightly more complicated formulas please see these resources:

  • Gellish RL, Goslin BR, Olson RE, McDonald A, Russi GD, Moudgil VK. Longitudinal modeling of the relationship between age and maximal heart rate. Med Sci Sports Exerc. 2007 May;39(5):822-9. www.ncbi.nlm.nih.gov/pubmed/17468581
  • Gulati M, Shaw LJ, Thisted RA, Black HR, Bairey Merz CN, Arnsdorf MF. Heart rate response to exercise stress testing in asymptomatic women: the st. James women take heart project. Circulation. 2010 Jul 13;122(2):130-7. Epub 2010 Jun 28. www.ncbi.nlm.nih.gov/pubmed/20585008

Your actual maximum heart rate is most accurately determined by a medically supervised maximal graded exercise test.

Please note that some medications and medical conditions may affect your heart rate. If you are taking medications or have a medical condition (such as heart disease, high blood pressure or diabetes), always ask your doctor if your maximum heart rate/target heart rate will be affected. If so, your heart rate ranges for exercise should be prescribed by your doctor or an exercise specialist.

What is target heart rate?

List
  • You gain the most benefits and lessen the risks when you exercise in your target heart rate zone. Usually this is when your exercise heart rate (pulse) is 60 to 80% of your maximum heart rate. In some cases, your health care provider may decrease your target heart rate zone to begin with 50% .
  • In some cases, High Intensity Interval Training (HIIT) may be beneficial. This should be discussed with a healthcare professional before beginning. With HIIT exercise, heart rates zones may exceed 85%.
  • Always check with your healthcare provider before starting an exercise program. Your provider can help you find a program and target heart rate zone that matches your needs, goals and physical condition.
  • When beginning an exercise program, you may need to gradually build up to a level that's within your target heart rate zone, especially if you haven't exercised regularly before. If the exercise feels too hard, slow down. You will reduce your risk of injury and enjoy the exercise more if you don't try to over-do it!
  • To find out if you are exercising in your target zone (between 60 and 80% of your maximum heart rate), stop exercising and check your 10-second pulse. If your pulse is below your target zone (see below), increase your rate of exercise. If your pulse is above your target zone, decrease your rate of exercise.

Normal Radial Pulse For Elderly

What is your target zone?

Target Heart Rate Zones by Age *

  • Age: 20
    • Target Heart Rate (HR) Zone (60-85%): ** 120 – 170
    • Predicted Maximum HR: 200
  • Age: 25
    • Target Heart Rate (HR) Zone (60-85%): 117 – 166
    • Predicted Maximum HR: 195
  • Age: 30
    • Target Heart Rate (HR) Zone (60-85%): 114 – 162
    • Predicted Maximum HR: 190
  • Age:35
    • Target Heart Rate (HR) Zone (60-85%): ** 111 – 157
    • Predicted Maximum HR: 185
  • Age: 40
    • Target Heart Rate (HR) Zone (60-85%): 108 – 153
    • Predicted Maximum HR: 180
  • Age: 45
    • Target Heart Rate (HR) Zone (60-85%): 105 – 149
    • Predicted Maximum HR: 175
  • Age: 50
    • Target Heart Rate (HR) Zone (60-85%): 102 – 145
    • Predicted Maximum HR: 170
  • Age:55
    • Target Heart Rate (HR) Zone (60-85%): 99 – 140
    • Predicted Maximum HR: 165
  • Age:60
    • Target Heart Rate (HR) Zone (60-85%): 96 – 136
    • Predicted Maximum HR: 160
  • Age:65
    • Target Heart Rate (HR) Zone (60-85%): 93 – 132
    • Predicted Maximum HR: 155
  • Age:70
    • Target Heart Rate (HR) Zone (60-85%): 90 – 123
    • Predicted Maximum HR: 150

Your Actual Values (Actual Values are determined from a graded exercise test)

  • Target HR
  • Max. HR

* This chart is based on the formula: 220 - your age = predicted maximum heart rate.

Resources

For more information about exercise

  • Exercise for Your Heart Health.
  • Exercise: Make Your Program a Success.
  • To make an appointment with an exercise specialist or to join a cardiac rehabilitation program, contact the Cleveland Clinic Preventive Cardiology and Rehabilitation Program at 216.444.9353 or 800.223.2273, ext. 9353
  • To find a cardiac rehabilitation program in your area, contact the American Association of Cardiopulmonary Rehabilitation.
  • American Heart Association.
  • National Heart, Lung, and Blood Institute.