Cardio Assessment

Question 1

Heart Tones

Answer 1

S1, S2                           Regular
Irregular                        Murmur
S3                                 S4
Gallop                           Muffled
Distant 
Radiating-one which is heard over a wider area or over another area

Question 2

Capillary Refill

Answer 2

All, LUE, RUE, LLE, RLE:
< 3
> 3
Absent

Question 3

Pulses

Answer 3

All,LUE, RUE, LLE, RLE: 
Absent
Intermittent
\+1-weak
\+2-normal
\+3-increased, full,bounding
Bounding
Doppler- used Doppler to auscultate

Question 4

Edema

Answer 4

All, LUE, RUE, LLE, RLE:
Absent
Trace
1+-mild pitting, slight indentation, no perceptible swelling of leg
2+-moderate pitting, indentation subsides rapidly
3+-deep pitting, indentation remains for a short time, leg looks swollen
4+-very deep pitting, indentation lasts long time, leg grossly swollen & distorted
Non-pitting
Pitting
Anasarca-extreme generalized edema, is a medical condition characterized by widespread swelling of the skin due to effusion of fluid into the extracellular space

Question 5

Skin Color & Description

Answer 5

Appropriate for ethnicity Warm
Dry Intact
Cool Clammy
Cyanotic Diaphoretic
Blotchy Dusky
Flushed Fragile
Jaundiced Moist
Mottled-skin discoloration in patches. Due to changes in blood vessels.
Pale
Ashen

Question 6

Cardio Health History questions

Answer 6

Chest pain or tightness?
Shortness of breath?
more than one pillow to sleep?
cough?
tire easily?
facial skin even, turn blue or ashen?
swelling or feet or legs?
awaken at night to urinate?
past history of heart disease?
family history of heart disease?
cardiac risk factors (overweight, smoking, HTN