6) LOWER EXTREMITIES Flashcards
1
Q
LOWER EXTREMITIES
A
7 STEPS
2
Q
1
A
Assess skin - color, temperature, moisture, presence or absence of hair.
3
Q
2
A
Assess for peripheral edema. Palpate edematous areas - bilateral 1+ = 5 mm 2+ = 5-10 mm, 3+ = 10-20 mm, 4+= > 20 mm
4
Q
3
A
Palpate pedal pulses bilateral assess for equality of strength. 0 = no pulse, 1+ = weak, 2+ = strong 3+ = bounding
5
Q
4
A
Assess cap refill bilateral - normal within 3 sec; within 5 sec for older adult
6
Q
5
A
Assess leg strength - are they able equal against resistance bilateral?
7
Q
6
A
Test plantar flexion and dorsiflexion of feet if not ambulatory
8
Q
7
A
Assess gait if ambulatory
