Cardiac Assessment Flashcards

1
Q

What is rubor?

A

blue/red discoloration when leg is dependent

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2
Q

What does cyanosis look like and what does it indicate?

A

bluish, lack of oxygen

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3
Q

What does black signify?

A

tissue necrosis (death)

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4
Q

What is the order of assessment for cardiac?

A

inspect, palpate, percuss, auscultate

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5
Q

What should be inspected during assessment?

A

skin, venous/arterial patterns, neck veins, chest wall

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6
Q

What does hair loss indicate?

A

cardiac dysfunction

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7
Q

What is pallor?

A

blanched or white

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8
Q

What should nail beds be inspected for?

A

clubbing

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9
Q

What are signs of arterial diseases?

A

diminished pulse, shiny/red skin, lack of hair, clubbing, pain relief from dangling, well defined/no bleeding, skin feels cold

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10
Q

What are signs of venous diseases?

A

normal pulse, brown discoloration, pain relief from elevation, thickened skin/edema, irregular edges/bleeding, skin feels warm

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11
Q

In arterial diseases how does skin react to elevation and dependent?

A

elevation=pallor

dependent=rubor

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12
Q

What is intermittent claudication?

A

severe muscle pain (cramp) that persists even after rest

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13
Q

How do you assess JVD?

A

place patient in semi-fowler’s position and inspect for distended/palpating jugular vein

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14
Q

What do you look for during palpation?

A

temp, moisture, edema, pulses

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15
Q

If unable to palpate pulses what should you do?

A

use Doppler to amplify sounds

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16
Q

What grade is a full, bounding pulse?

A

3+

17
Q

What grade is a weak, thready pulse?

A

1+

18
Q

What grade is a normal pulse?

A

2+

19
Q

How is palpation graded?

A

1-4

20
Q

What is normal capillary refill rate?

A

2-3 seconds

21
Q

A whooshing noise is auscultated at the carotid artery is this a normal or abnormal finding?

A

abnormal

22
Q

S2 sounds are loudest at what section of the hear?

A

base

23
Q

S1 sounds are loudest at what section of the heart?

A

apex

24
Q

In what order do you auscultate the heart? (All People Eat Too Much)

A

aortic, pulmonic, erb’s point, tricuspid, mitral

25
Q

If the pulse deficit is greater than 4 what should you do?

A

re-evaluate

26
Q

Orthostatic hypotension?

A

increase in 15-30 bpm, and a decrease in 20+ systolic and 10+ diastolic

27
Q

When is a S4 sound common and what is it caused by?

A

elderly, caused by hypertension

28
Q

When is S3 common?

A

young adults