Cardiovascular Assessment by https://padlet.com/elaine_monteith/y1v4510xm1sia317 Heart and PV . Add a piece of information or build upon en-us 2023-04-12 05:23:30 UTC 2023-04-23 06:13:42 UTC hello@padlet.com https://padlet.net/icons/png/1f49e.png Barrel Chest elaine_monteith https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2551158631 AP 1:1

]]> 2023-04-12 05:28:57 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2551158631 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557479849 Idk ]]> 2023-04-17 19:16:22 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557479849 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557480551 Capillary refill in all 20 digits ]]> 2023-04-17 19:16:58 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557480551 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557481657 S1 louder in the tricuspid and mitral sites 
S2 louder in the atrial and pulmonic sites 
S3, S4 not heard 
Heart sounds rhythmic and regular ]]> 2023-04-17 19:18:00 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557481657 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557482463 S3 and S4 sounds should not be audible]]> 2023-04-17 19:18:46 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557482463 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557482476 Precordium is symmetrical, no visible pulsation, no cyanosis 
No peripheral edema ]]> 2023-04-17 19:18:47 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557482476 begin with focused interview https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557482636 2023-04-17 19:18:56 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557482636 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557486869 Carry deoxygenated blood from tissue to heart ]]> 2023-04-17 19:23:07 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557486869 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557487014 S1 coincide with the R wave]]> 2023-04-17 19:23:15 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557487014 Arteries https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557488240
  • Carry oxygenated blood
  • Strong, tough, can withstand higher pressure
  • More elastic fibres to stretch with systole & diastole 
  • Vascular smooth muscle contracts and dilated to control blood flow
    • ]]>     2023-04-17 19:24:15 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557488240     right side heart failure could lead to liver/kidney problems/edema in lower extremities https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557488333 2023-04-17 19:24:21 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557488333 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557488617 S1 is louder than S2 at the apex; S2 is louder than S1 at the base ]]> 2023-04-17 19:24:38 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557488617 Edema https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557489134 2023-04-17 19:25:10 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557489134 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557489192 Narrowing of arteries means lower oxygen to extremities]]> 2023-04-17 19:25:12 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557489192 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557489399 Doppler is used to listen for arterial flow of posterior tibial and dorsalis pedis]]> 2023-04-17 19:25:21 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557489399 Ask about family history of CVD, hypertension, stroke https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557489566 Ask if about diet ( if it’s high fat)
    Ask about exercise habits 
    Ask about fatigue 
    Ask about chest pain]]>     2023-04-17 19:25:30 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557489566     https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557489588 Ask if they have dyspnea ]]> 2023-04-17 19:25:32 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557489588 monitoring SPO2 normal range 95-100% https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557489749 2023-04-17 19:25:37 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557489749 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557489952 Chest pain ]]> 2023-04-17 19:25:48 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557489952 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557490604 Fatigue ]]> 2023-04-17 19:26:25 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557490604 Inspect and palpate edema https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557490718 2023-04-17 19:26:31 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557490718 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557490862 Normal grading for arterial pulse is +1]]> 2023-04-17 19:26:41 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557490862 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557491021 Access temp bilaterally with back of hands ]]> 2023-04-17 19:26:49 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557491021 Past history of cardiac https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557491138 2023-04-17 19:26:57 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557491138 Veins https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557491194
  • Parallels the arteries
  • Lie closer to the skin surface
  • Carry deoxygenated blood & waste products from tissues
  • Low pressure system
  • Flow via skeletal muscles contraction, intraluminal valves, and pressure gradient by breathing
    • ]]>     2023-04-17 19:27:00 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557491194     Pulses https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557491223 Dorsalis pedialis, posterior tibialis]]> 2023-04-17 19:27:01 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557491223 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557491612 Cough
    Goat
    Bloodpressure]]>     2023-04-17 19:27:19 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557491612     https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557491637 Lymphatics: retrieves excess fluid from tissues and returns it to blood stream.]]> 2023-04-17 19:27:21 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557491637 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557491971 Order to obtain objective information
    1. vitals 
    2. Extremities 
    3. Carotid/jugular assessment 
    4. Pericardium ]]>     2023-04-17 19:27:39 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557491971     Chest pain https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557492123 2023-04-17 19:27:48 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557492123 Inspect and palpate bilateral pulse https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557492429 2023-04-17 19:28:07 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557492429 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557493271 S1 is louder in the dub where it’s found in the Triscubed and mitral valve (Abical)]]> 2023-04-17 19:28:58 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557493271 Subjective Data https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557493373
  • Leg pain or cramps (swelling, blockages)
  • Skin changes of extremities (pale legs)
  • Edema
  • Lymph node enlargement
  • Personal habits (sedentary, obesity, genetics, pregnancy, smoking, diet)
    • ]]>     2023-04-17 19:29:03 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557493373     Objective https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557493496 -safety- positioning, comfort, privacy, ID X2 & intro, consent 
       -Assess VS first- TPR, BP, O2, sat, pulse 
        -Apical rate- 30 sec unless abnormal or irregular 
        -extremities 
        -neck 
    -precordium ]]>     2023-04-17 19:29:12 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557493496     https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557494055 Carries oxygenated blood away from the heart ]]> 2023-04-17 19:29:45 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557494055 conjuctiva of eyes https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557494284 2023-04-17 19:29:59 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557494284 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557494802 Ask about 
    - leg cramps
    - swelling 
    - any medication 
    - skin changes 
    - cold feet/hands 

    ]]>     2023-04-17 19:30:23 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557494802     https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557494809 If pain is better when walking = arterial]]> 2023-04-17 19:30:23 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557494809 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557495049 If pain is better when laying = venous]]> 2023-04-17 19:30:38 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557495049 fifth intercostal space on the left location of the heart https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557495059 2023-04-17 19:30:39 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557495059 Diet. History of smoking. https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557495142 2023-04-17 19:30:44 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557495142 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557495416 Swollen legs at end of day 
    Pain with acitivity , often aching 

    ]]>     2023-04-17 19:30:58 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557495416     https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557496707  
    CTEMPS 
    Color
    Temperature 
    Edema 
    Movement 
    Pulse
    Sensation 

    ]]>     2023-04-17 19:32:18 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557496707     https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557496754 Obtain information on if older adult has mobility aid, hearing aid or vision problems]]> 2023-04-17 19:32:21 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557496754 https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557497272 Palpate for bitting edema
    Temperature bilaterally 
    Capillary refill
    Gout
    Listen to tibial dorsal brochial ulna and radial bilaterally ]]>     2023-04-17 19:32:54 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557497272     Older adult https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557497313 -when assessing carotid arteries of an older adult with cardiovascular disease listen with the bell of the stethoscope to auscultate for bruits 
    -use caution when palpating and auscultating the carotid artery 
    -Avoid pressure in the carotid sinus area ( could cause reflex, slowing the heart rate)
    -Pressure on carotid can compromise circulation that may already be narrowed by atherosclerosis 
    -fatigue in evening could be result of decreased cardiac output ]]>     2023-04-17 19:32:57 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557497313     https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557497339 Parallel the arteries ]]> 2023-04-17 19:32:58 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557497339 Palpation https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557498332
  • Assess pulse bilaterally (radial, brachial, femoral, popliteal(if painful stop), posterior tibialis, dorsalis pedis)
  • Don’t usually assess ulnar pulse
  • Rate, rhythm, force
  • Doppler if pulse not palpable
  • Edema, pitting, non-pitting
    • ]]>     2023-04-17 19:33:57 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557498332     Doppler https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557499190
  • Ultrasound used to detect blood flow in a blood vessel
  • Very useful when suspected PAD
    • ]]>     2023-04-17 19:34:52 UTC https://padlet.com/elaine_monteith/y1v4510xm1sia317/wish/2557499190