8. Cardio and peripheral vascular Flashcards
when assessing jugular vein do you keep pllow or not
remove pillow
what side of the neck do you check for jugular veins
right side of their neck
what to do if If pulse is not palpable in distal most aspect of the limb
then assess next proximal pulse or use a doppler ultrasound device
paresthesia
decreased sensation in affected limb or numbing
what to do if you hear a bruit over abdomen
do not palpate the area,
ask if they experience pain in their chest, back, abdomen, groin
if they have been diagnosed with aneurysm.
Also check BP. until aneurysm is ruled out, keep pt in bed
aneurysm
bulging of weak blood vessel
preeclampsia
high BP in pregnancy
acrocyanosis
cyanosis in extremities
Peripheral venous disease
blood cant go back to heart, pool of blood in extremities
peripheral arterial disease
blood cant go to extremities = no O2 in tissues
claudication
pain during activity due to lack of O2 in tissues
dependent edema
edema worsen with gravity
abdominal vascular sound locations
aorta renal iliac femoral
elevational pallor
extremities become pale when raised above heart level
dependent rubor
redness in dorsal side of toes when below heart level
T or F unlike carotid, jugular pulsation varies with the person’s breathing
True
Carotid or jugular, one quick wave
carotid pulsation
carotid or jugular, double diffuse wave
jugular pulsation
where is aortic valve best heard
2nd intercostal space at right sternal border
where is pulmonic valve best heard at
2nd intercostal space at left sternal border
where is tricupsid valve best heard at for adult and children
adult = 5th intercostal space, left sternal border
children = 4th
where is mitral or apex of heart best heard at children and adult
adult = 5th intercostal space, left midclavicular line
children = 4th
cardiac ischemia
heart muscle dont receive enough blood and oxygen
T or F apical impulse can shift laterally and up with pregnancy
True
