6-lug wheels are measured like 4-lug wheels. Bolt pattern or bolt circle is the diameter of an imaginary circle formed by the centers of the wheel lugs.. Note: When measuring a 5-lug wheel the measurement is only an estimate unless accurately measured using a bolt pattern gauge. A bolt pattern gauge is a specialty tool and is not widely available.
Palpation should be done using the fingertips and intensity of the pulse graded on a scale of 0 to 4 +:0 indicating no palpable pulse; 1 + indicating a faint, but detectable pulse; 2 + suggesting a slightly more diminished pulse than normal; 3 + is a normal pulse; and 4 + indicating a bounding pulse.
The pulse generator is then placed in to the pocket and the skin is sutured (sewn) back together. A dressing is placed over the operative site to keep it clean. As with most surgical procedures, antibiotics are generally given before and after your pacemaker implantation to decrease the likelihood of infection.