Cardiovascular examination - Order Flashcards
What is the first section of the cardiovascular examination?
Global overview and end of bed assessment
What five things are done during the global overview/end of bed assessment?
Danger check Sanitation and PPE End of bed assessment introduce self and gain consent Position patient
What comes after the global overview and bed assessment in the examination?
Primary survery
What is done during the primary survey?
CABCDE
What is the order of peripheral examination?
Upper limbs, lower limbs, neck/head, chest area
What six things are done during peripheral assessments of the upper limbs?
Assess fingernails Assess knuckles Assess web-spaces Assess radial pulse Assess skin turgor Signs of recent phlebotomy
What four things are done during peripheral assessments of the lower limbs?
Assess for oedema
Skin colour changes
Calf tenderness
Muscle atrophy
What seven things are done during peripheral assessments of the neck and head?
Venous distension Palpate lymph nodes Assess for xanthalasma note scleral jaundice note colour of conjunctiva note central cyanosis assess mouth
What two things are done during cardiovascular inspection?
Check perfusion to the skin
Note scares to chest
What comes after the Primary survey in the examination?
peripheral examination
What six things are done during cardiovascular palpation?
Compare pulse Palpate apex beat note presence of cardiac heaves and thrills Assess for pain alteration upon movement Palpate aorta mass
What 3 things are done during cardiovascular assessment for heart sounds?
Check for S3 and S4 heart sounds
Identify any murmurs
Identify any rub
What is the first part of the cardiovascular examination?
Inspection
What comes after inspection in the cardiovascular examination?
Palpation
What comes after palpation in the cardiovascular examination?
Auscultation