HA Chatper 20

Question 1

Heart and Neck Vessels: Subjective Data

Answer 1

Chest pain
Dyspnea
Orthoopnea
Cough
Fatigue
Cyanosis or pallor
edema
Nocturnal
Past cardiac history
Family cardiac history
Patient-centered care (cardiac risk factors)

Question 2

Subjective data: Chest pain

Answer 2

Any chest pain or tightness?
Brought on by activity?
Any associated symptoms?
Aggravating factors?
Treatments?

Question 3

Subjective data: dyspnea

Answer 3

Any SOB?
Onset?
Duration?
Aggravation?
Timing/
Treatment?
Orthopnea?

Question 4

Subjective data: cough

Answer 4

Any cough?
Duration?
Frequency?
Type?
Any mucus?
What does it sound like?
Aggravating factors?

Question 5

Subjective data: fatigue

Answer 5

Any tiredness?
Onset?
Timing?

Question 6

Subjective data: cyanosis or pallor

Answer 6

Ever notice skin turning blue or grey?

Question 7

Subjective data: edema

Answer 7

Any swelling of feet or legs?
Time of day?
How much swelling?
Where?
Does it go away?
Any associated symptoms?
Aggravating factors?
Anything make it better?

Question 8

Subjective data: nocturia

Answer 8

Do you wake up to urinate?

Question 9

Subjective data: past cardiac history

Answer 9

Any history of HTN, elevated cholesterol, triglyceride, heart murmur, congenital heart disease, rheumatic fever

Last ecg?

Family have any heart disease?

Question 10

Summary checklist: heart and. Neck vessels examination

Answer 10

Neck: carotid pulse (observe and palpate), observe jugular venous pulse, estimate jugular venous pressure

Precordium
Inspection and palpation: describe location of apical impulse, note any life or heave

Auscultation:
- Identify anatomical areas where you listen
- Note rate and rhythm of heartbeat
- Identify S1 and S2 and note any variation
- listen in systole and diastole for any extra heart sounds
Listen in systole and diastole for any murmurs
Repeat sequence with bell
Listen at the apex with person in left lateral position
Listen at the base with person in sitting position