What is Pulsus Paradoxus? | TMC Practice Question

3 years ago
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What is Pulsus Paradoxus? This video breaks down a sample TMC Practice Question on this topic.
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➡️ While palpating your patient’s radial artery for a 1-minute pulse check, you noticed 95 unevenly spaced beats with decreased pulse strength during inspiration. Which of the following best describes this patient’s condition?
A. Bounding pulse
B. Thready pulse
C. Pulsus alternans
D. Pulsus paradoxus

➡️ Rationale Explanation:
To get this one right, you needed to be familiar with the different abnormal pulse types. A paradoxical pulse is defined as an abnormal decrease in pulse strength and blood pressure during inspiration — which pretty much gives away the correct answer for this one.

➡️ When is a Paradoxical Pulse seen?
You should remember that a paradoxical pulse is commonly seen in the following patients:
▪ COPD
▪ Asthma
▪ Croup
▪ Pericarditis
▪ Cardiac tamponade

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🚑MEDICAL DISCLAIMER
Medicine and Respiratory Therapy are continuously changing practices. The information in this video is for educational and entertainment purposes only. For medical advice, please consult with a physician or qualified medical professional.

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⏰TIMESTAMPS
0:00 - Intro
0:22 - Practice Question
0:53 - Explanation
1:35 - Correct Answer

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