Cardiac Assessment -Kirila

Question 1

When are the 3 indications for performing orthostatic vital signs?

Answer 1

1. dehydration
2. blood loss
3. syncope/ near syncope

Question 2

POSITIVE orthostatics is a pulse increase of ______ bpm and BP decrease of ______ mmHg or greater

Answer 2

10 bpm + 20 mmHG

Question 3

Capillary refill >2 seconds could indicate? (3)

Answer 3

1. low CO
2. peripheral vascular disease
3. decrease circulating volume

Question 4

___/ 4 pulse is strong full/ increased

Answer 4

3+/4

Question 5

___/4 pulse is diminished , barely palpable

Answer 5

1+/ 4

Question 6

Normal JVP is ______ cm

Answer 6

6-8 cm

Question 7

What vascular structure is used to measure the JVD?

Answer 7

internal jugular veins

Question 8

CHF, nephrotic syndrome , venous and lymphatic blockage are all causes of_____?

Answer 8

EDEMA

Question 9

What are the 6 Ps of arterial occlusion?

Answer 9

1. parasthesia
2. perishing cold
3. pulselessness
4. pain
5. paralysis
6. pallor

Question 10

Increase lordosis exacerbates ______ claudication (neurogenic/vascular)?

Answer 10

Neurogenic

Question 11

increased weakness after walking (neurogenic/vascular)?

Answer 11

neurogenic

Question 12

Pulses are present in ______ claudication (neurogenic/vascular)?

Answer 12

neurogenic

Question 13

Pitting edema of 2+ is _____ mm

Answer 13

4 mm

Question 14

Walking uphill exacerbates _____ claudications (neurogenic/vascular)?

Answer 14

vascular

walking DOWNhill. = neurogenic

Question 15

Bending over/ sitting alleviates _______ claudication (neurogenic/vascular)?

Answer 15

neurogenic

Question 16

How you you calculate LEFT ABI?

Answer 16

highest pressure of LEFT foot/ highest pressure in BOTH arms

Question 17

Severe arterial disease is indicated by ABI of _____?

Answer 17

<0.5

Question 18

Moderate arterial disease is indicated by ABI of _____?

Answer 18

0.5- 0.8

Question 19

Mild/some arterial disease is indicated by ABI of _____?

Answer 19

0.8- 0.9

Question 20

Which type of claudication (neurogenic/vascular) is made worse by increase metabolic demand?

Answer 20

Vascular

Question 21

Poor venous return due to incompetent valves can result in ________

Answer 21

varicose veins

Question 22

Stasis dermatitis presents with stained skin due to _______deposits

Answer 22

hemosiderin

Question 23

Thickened skin, brawny edema, firm to touch are characteristics of _______?

Answer 23

stasis dermatitis

Question 24

______ edema (pitting/nonpitting) is a result of impaired fluid return into lymphatic system?

Answer 24

NON-pitting

Question 25

What is the MOST COMMON cause of lymphedema?

Answer 25

axillary lymph node dissection during mastectomy