CV Lab

Question 1

How are you going to Auscultate the heart

Answer 1

Verbalize where you’re putting the stethoscope

All - Aortic = 2nd intercostal space right sternal border

Physicians - Pulmonic = 2nd intercostal space left sternal border

Take - Tricuspid = 4th intercostal space left sternal border

Money - Mitral = 5th intercostal space midclavicular line

Question 2

How are you going to inspect the carotids?

Answer 2

Tell the patient what you’re going to do.

Palpate the carotid pulse so you know where to listen - do not palpate bilaterally at the same time

use the bell of the diaphragm

ask the pt to take a deep breath and hold it, then listen for bruit on one side

tell patient it is OK to breathe

repeat on the other side.

Question 3

What pulses are you going to palpate?

Answer 3

Brachial
Radial
Posterior Tibialis
Dorsalis Pedis

Question 4

How are you going to check for edema?

Answer 4

Press with your fingertip for 5 seconds on the Dorsal of the foot, medial malleolus, anterior tibia

then release

Question 5

Check for capillary refill

Answer 5

Apply pressure to fingernail or toenail for several seconds to cause blanching, release and check at least one digit bilaterally

verbalize that normal cap refill is less than 2 seconds