Cardiac Assessment Flashcards
(28 cards)
What is rubor?
blue/red discoloration when leg is dependent
What does cyanosis look like and what does it indicate?
bluish, lack of oxygen
What does black signify?
tissue necrosis (death)
What is the order of assessment for cardiac?
inspect, palpate, percuss, auscultate
What should be inspected during assessment?
skin, venous/arterial patterns, neck veins, chest wall
What does hair loss indicate?
cardiac dysfunction
What is pallor?
blanched or white
What should nail beds be inspected for?
clubbing
What are signs of arterial diseases?
diminished pulse, shiny/red skin, lack of hair, clubbing, pain relief from dangling, well defined/no bleeding, skin feels cold
What are signs of venous diseases?
normal pulse, brown discoloration, pain relief from elevation, thickened skin/edema, irregular edges/bleeding, skin feels warm
In arterial diseases how does skin react to elevation and dependent?
elevation=pallor
dependent=rubor
What is intermittent claudication?
severe muscle pain (cramp) that persists even after rest
How do you assess JVD?
place patient in semi-fowler’s position and inspect for distended/palpating jugular vein
What do you look for during palpation?
temp, moisture, edema, pulses
If unable to palpate pulses what should you do?
use Doppler to amplify sounds
What grade is a full, bounding pulse?
3+
What grade is a weak, thready pulse?
1+
What grade is a normal pulse?
2+
How is palpation graded?
1-4
What is normal capillary refill rate?
2-3 seconds
A whooshing noise is auscultated at the carotid artery is this a normal or abnormal finding?
abnormal
S2 sounds are loudest at what section of the hear?
base
S1 sounds are loudest at what section of the heart?
apex
In what order do you auscultate the heart? (All People Eat Too Much)
aortic, pulmonic, erb’s point, tricuspid, mitral