Cardiovascular Flashcards
End Of Bed Assessment
[critical]
CARDIOVASULAR
Safety Patients general appearance Levels of consciousness Age Gender Obvious Pain/position Environment Obese/Wasted Time Critical
Initial Approach To Patient
[critical]
CARDIOVASULAR
Greets the patient
Obtains Consent
Communication
CARDIOVASULAR
Explains clearly Builds Rapport Shows empathy Avoids jargon Responds to concerns/expectations
Taking A History
[critical]
CARDIOVASULAR
Presenting complaint History of presenting complaint Previous medical history Drug history and allergies Family/social history Review of systems
Pain Assessment
[critical]
CARDIOVASULAR
SOCRATES
Site Onset Character Radiation Alleviating factors Timing Exasperating factors Score 0-10
Pain score good explanation to patient
JACCO
CARDIOVASULAR
Jaundice Anaemia Cyanosis Clubbing Oedema
Hands
CARDIOVASULAR
Warm Dry Perfused Tremor Splinter haemorrhage - infection of heart valves Nicotine stains - increased risk of cardiovascular disease Xanthomas - high cholesterol Cap Refill
Pulses
[critical]
CARDIOVASULAR
Rhythm - a strong, regular repeated pattern of movement or sound.
Rate - tachy/bradycardia
Regularity
Character - strong/weak, full/thready
Radial-Radial delay
BP
[critical]
CARDIOVASULAR
- Technique
- Cuff correct size
- Sitting
- standing - 2min standing:
systolic >20
Diastolic >10
HR >30
Inspect: Face
CARDIOVASULAR
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
Inspect: Neck
CARDIOVASCULAR
JVP distension - Right sided heart failure
Carotid bruits - atherosclerosis, aortic stenosis
Inspect: Chest
[critical]
CARDIOVASCULAR
Scars
Pacemaker/ICD
Lessions, or rashes
Bruising/injury
Palpate: Chest
CARDIOVASCULAR
- Apical beat indentified
commment on:
- Heaves/Thrills
- Tenderness
Auscultate: Chest/Neck
CARDIOVASCULAR
- Good technique
- All areas auscultated (APTM)
- Knowledge of normal/abnormal HS
- Carotid bruits - bilateral check. if hear whoosing = atherosclerosis
Further Tests
[critical]
CARDIOVASCULAR
ECG
BM
BP