HEART AND NECK VESSELS ASSESMENT – Flashcards
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The First Step is
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INSPECTION
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Heart Inspection I 1/7
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LOC
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Heart Inspection I 2/7
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Position and Comfort Level
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Heart Inspection I 3/7
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Culbbing
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Heart Inspection I 4/7
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Skin color and condition
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Heart Inspection I 5/7
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Cough
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Heart Inspection I 6/7
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Dyspnea, Orthopnea
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Dyspnea
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Difficult or labored breathing
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Orthopnea
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Breathing is easier in an upright position. "How many Pillows"
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Heart Inspection I 7/7
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Carotid Arteries
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Carotid Assesment Step 1/3
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Inspection; located inbetween the Trachea an the sternomastois muscle (should not be visible)
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Carotid Assesment Step 2/3
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Palpation; palpate each artery soflty, one at a time. Feel for contour and amplitude. Smooth with a rapid upstroke and slower downstroke. Should have a normal grade of 2.
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Carotid assesment 3/3
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Auscultation; place bell of stethoscope at: 1. the angle of the jaw. 2. midcervical area 3. Abse of teh neck. Instruct patient to hold breath, you should hear nothing.
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After corotid inspection is...
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Jugular assesment
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Jugular
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Inspection:Look for Central venous pressure. Pt should be in supine postion, have pt turn thier head and watch thier JV distend. look for regular pulsations.
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After the Jugular vein you assess
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The Pericordium (part 1)
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When first assessing the pericordium we first
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Inspect/ palpate the following: Thrills, Chest wall pulsations, Heave or lift, Apical Impulse.
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Pericordium Assesment 1/4
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Thrills: Vibration staht signify turbulent blood flow
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Pericordium Assesment 2/4
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Chest Wall Pulsations: pulsations of the wall not always visible. should be located in the same area as the apical pulse.
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Pericordium Assesment 3/4
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Heave or lift: abnormal pulstaion at the left sternal border or apex. sign of an ventricular hypertrophy
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Pericordium Assesment 4/4
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Apical Impulse: located at the same spot as apical pulse. ( patient may need to be rolled onto side). ask pt. to exhale and hold it. Note Location Size Amplitude and Duration
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Pericordium (part 2)
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INSPECTION (but really auscultation)
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Heart inspection II 1/4
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THE "Z", APe To Man: locate the aortic pulmonic Tricuspid Mitral areas.
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Heart inspection II 2/4
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Locate APICAL PULSE. Assess for rate rhythym and quality
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Heart inspection II 3/4
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S1/S2 S1:best heard at apex S2: Best heard at the base.
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Heart inspection II 4/4
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Check for pulse deficits = radial - apical. suggests weak contraction of ventricles.
