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Below the age of two, take an apical pulse. Quote from Reno1978 I was taught that a radial pulse is considered reliable on those ages 2 and higher. Below the age of two, take an apical pulse. Under the age of two, a brachial pulse should be taken to assess peripheral pulses.
When the apical pulse is irregular, it is best to count for at least 1 minute to obtain an accurate rate. 1. Determining an apical pulse involves locating the point of maximal impulse (PMI), placing the bell or diaphragm of your stethoscope at this site, and listening for 1 minute.. To determine the pulse deficit, take the radial and the apical pulses simultaneously. 2. Position the patient either in a supine or a sitting position and expose the patient's sternum and the left side of the chest. 3. Using the appropriate anatomical landmarks, locate the radial and the apical pulses.