Cardiovascular Flashcards

1
Q

End Of Bed Assessment
[critical]
CARDIOVASULAR

A
Safety
Patients general appearance
Levels of consciousness
Age
Gender
Obvious Pain/position
Environment
Obese/Wasted
Time Critical
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2
Q

Initial Approach To Patient
[critical]
CARDIOVASULAR

A

Greets the patient

Obtains Consent

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3
Q

Communication

CARDIOVASULAR

A
Explains clearly
Builds Rapport
Shows empathy
Avoids jargon
Responds to concerns/expectations
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4
Q

Taking A History
[critical]
CARDIOVASULAR

A
Presenting complaint
History of presenting complaint
Previous medical history
Drug history and allergies
Family/social history
Review of systems
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5
Q

Pain Assessment
[critical]
CARDIOVASULAR

A

SOCRATES

Site
Onset
Character
Radiation
Alleviating factors
Timing
Exasperating factors
Score 0-10

Pain score good explanation to patient

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6
Q

JACCO

CARDIOVASULAR

A
Jaundice
Anaemia
Cyanosis
Clubbing
Oedema
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7
Q

Hands

CARDIOVASULAR

A
Warm
Dry
Perfused
Tremor 
Splinter haemorrhage - infection of heart valves
Nicotine stains - increased risk of cardiovascular disease
Xanthomas - high cholesterol
Cap Refill
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8
Q

Pulses
[critical]
CARDIOVASULAR

A

Rhythm - a strong, regular repeated pattern of movement or sound.

Rate - tachy/bradycardia

Regularity

Character - strong/weak, full/thready

Radial-Radial delay

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9
Q

BP
[critical]
CARDIOVASULAR

A
  1. Technique
  2. Cuff correct size
  3. Sitting
  4. standing - 2min standing:
    systolic >20
    Diastolic >10
    HR >30
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10
Q

Inspect: Face

CARDIOVASULAR

A

Xanthelasma - high cholesterol
Arcus Senilis - high cholesterol
Anaemia - lack of RBC
Jaundice - buildup of bilirubin, a waste material, in the blood. An inflamed liver or obstructed bile duct can lead to jaundice

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11
Q

Inspect: Neck

CARDIOVASCULAR

A

JVP distension - Right sided heart failure

Carotid bruits - atherosclerosis, aortic stenosis

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12
Q

Inspect: Chest
[critical]
CARDIOVASCULAR

A

Scars
Pacemaker/ICD
Lessions, or rashes
Bruising/injury

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13
Q

Palpate: Chest

CARDIOVASCULAR

A
  1. Apical beat indentified

commment on:

  1. Heaves/Thrills
  2. Tenderness
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14
Q

Auscultate: Chest/Neck

CARDIOVASCULAR

A
  1. Good technique
  2. All areas auscultated (APTM)
  3. Knowledge of normal/abnormal HS
  4. Carotid bruits - bilateral check. if hear whoosing = atherosclerosis
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15
Q

Further Tests
[critical]
CARDIOVASCULAR

A

ECG
BM
BP

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16
Q

NEWS2/Pathfinder/PRT

CARDIOVASCULAR

A

NEWS2
Pathfinder
PRT

17
Q

Impression
[critical]
CARDIOVASCULAR

A

1.
2.
3.
4.

18
Q

Plan: Non-conveyed

CARDIOVASCULAR

A
  1. Ongoing care
  2. Safety Netting - advice to patient.

Referral to another HCP

  1. Accurate details
  2. Structure - use SBAR
  3. PRF signed
19
Q

Plan: Conveyed

CARDIOVASCULAR

A
  1. Destination
  2. On-going care
  3. Reassessment of observations

Hand over to HCP

  1. Accurate details
  2. Structure - use SBAR