Ch.17 Patients Assessment: Cardiovascular System

Question 1

What is NOPQRST?

Answer 1

Normal (baseline)
Onset
Precipitating and Palliative
Quality and Quantity

Question 2

Cause of dyspnea in cardiac patients? further assess?

Answer 2

LVHF

does it happen only with exertion or also at rest?

Question 3

What is orthopnea?

Answer 3

dyspnea that is relieved by sitting or standing from a lying position.

Question 4

What is paroxysmal nocturnal dyspnea?

Answer 4

orthopnic dyspnea that occurs after 1-2 hours of sleep.

Question 5

What is the significance of syncope or dizziness in relation to cardiac function?

Answer 5

can be a sign of decreased cerebral blood flow.

Question 6

What are some things that can cause a cough in relation to the cardiovascular system? what else would you ask?

Answer 6

ACE inhibitor adverse effect

HF

PE

mirtal stenosis

Is it wet or dry?

Frequency?

Is it productive? Assess the sputum. (color, odor, consistency, and amount)

Question 7

why would cardiac patients nocturese?

Answer 7

insufficient perfusion during the day when the rest of the body is active is compensated while the body is resting.

If the patient is taking a diuretic assess frequency in relation to time of day diuretic is taken.

Question 8

claudication cause?

Answer 8

usually severe atherosclerotic obstruction

Question 9

How do you assess for JVD?

Answer 9

Look for pulsations with tangential light at 30,45,60,90 degree angles, head should be turned slightly from examiner.