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thrill

A buzzing or vibrating feeling felt with the fingertips over a blood vessel or the heart.

THRIL noun

What it means

The feeling of turbulent blood flow. Over a dialysis fistula or graft, a thrill is normal and shows that blood is flowing through it; the matching whooshing sound heard with a stethoscope is a bruit. Over the heart, a thrill can be felt with a loud murmur.

For the nurse

Feel for the thrill and listen for the bruit over a dialysis access every shift; report if either is missing. Do not take blood pressures, draw blood or start IVs in that arm.

At a glance

Also writtenthrills

Related terms

dialysis

A treatment that removes wastes and extra fluid from the blood when the kidneys can no longer do it.

auscultation

Listening to the sounds inside the body, usually with a stethoscope.

palpation

Examining the body by touching and pressing with the hands and fingers.

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