Cardio Checklist Flashcards
Cardiovascular (inspects and reports on)
- Performs evaluation of JVP
- Pt in supine position with HOB at 30deg.
- Measures from sternal angle with straight edge of second object.
- Reports on findings (normal 3-4cm w/o 4cm distance from r. atria
Cardiovascular: identifies &palpates
- point of maximal impulse (PMI) (using 2 fingers with pt sitting upright)
- States alternate method of location (left lateral decubitus position) and visualization of Apical (mitral) impulse utilizing tangential lighting
- verbalizes results (location: Lft MCL/ 5th iCS & diameter:
Cardiovascular: Auscultate for high pitched sounds (using DIAPHRAGM of stethoscope)
WITH PATIENT IN SUPINE POSITION
- Aortic area (right 2nd ICS/RSB)
- Pulmonic area (left 2nd ICS/LSB)
- Tricuspid area (left 4th ICS/LSB)
- Mitral (apical) area (left 5th ICS/MCL)
Cardiovascular: Auscultate for low pitched sounds (using the BELL of the stethoscope)
WITH PT SITTING IN THE UPRIGHT POSITION
- Mitral (apical) area
- Tricuspid area
- Pulmonic area
- Aortic area
Cardiovascular: reports on
- HR (#pulse)
- Heart rhythm (reg/irreg)
- Evaluation of S1 (reported w/ S2 as present/sharp)
- Eval of S2
- Presence or absence of murmurs (no murmur/gallop/rub)
Cardiovascular:States that murmurs are reported by
- Timing (systolic/diastolic)
- Shape (crescendo/decrescendo/holosystolic)
- Location (closest valve)
- Radiation (ie: neck/back)
- Intensity (Grade 1-6)
- Pitch (high/med/low)
- Quality (ie: blowing/harsh/rumbling/musical)
Cardiovasuclar
Must be auscultating on pt with their shirt off
Cardiovascular: reports on extra sounds in systole & diastole
- ejection sounds
- systolic click
- S3
- S4
- opening snap
Cardiovascular: AR (atrial regurgitation): w/ patient sitting pup and leaning forward:
- Instructs pt to exhale and hold breath
- uses diaphragm
- auscultates aortic area for aortic regurgitation
- Verbalizes presence/absence of diastolic events
- Verbalizes presence/absence or pericardial rubs
Cardiovascular: MT (mitral stenosis): with pt in left lateral decubitus position:
- Uses bell
- Listens to mitral stenosis at the apex (mitral) area
- VERBALIZES PRESENCE/ ABSENCE OF DIASTOLIC EVENTS
Cardiovascular: Evaluates pt for peripheral/pedal edema by pressing fingers into skin overs pts shin
- Holds for 2-3 secs
- VERBALIZES RESULTS
- states in bedridden pts the would evaluate for edema by pressing finger over sacrum
Peripheral vascular: inspect both arms for
- swelling
- venous pattern
- Skin temperature
- nail bed color
Peripheral vascular: inspects both legs for
- Swelling
- varicose veins
- brawny edema
- ulcers
- skin color
- hair distribution
- INSPECTION DONE WITH PT STANDING!!!!!
Peripheral Vascular: Nails
Examines nail bed of one finger for capillary refill
-reports on amount of time to achieve capillary refill (
Lymphatic-palpation: Id’s & palpates
- infraclavicular nodes
- Axillary nodes (later/central)
- Supports ipsilateral arm
- Epitrochlear nodes
- Reports location of inguinal nodes
