Circulation and Skin Flashcards
Skin Color assessment signs for circulation
Normal
Pallor
Rubor
Duskiness/Cyanosis
Mottling
Skin Quality assessment
Thin/Fragile
Shiny
Hairless
What is normal capillary refill
two seconds or less
What is normal pedal surface temp
31-32 Degrees celcius
Dorsalis Pedis pulse location
The dorsalis pedis artery pulse can be palpated lateral to the extensor hallucis longus tendon (or medially to the extensor digitorum longus tendon) on the dorsal surface of the foot, distal to the dorsal most prominence of the navicular bone which serves as a reliable landmark for palpation.
Where do you find the posterior tibial pulse?
The posterior tibial artery lies just posterior to the medial malleolus. It can be felt most readily by curling the fingers of the examining hand anteriorly around the ankle, indenting the soft tissues in the space between the medial malleolus and the Achilles tendon, above the calcaneus.
How do you assess pain?
Verbally describe
How do you assess pressure?
Monofilament
Semmes-Weinstein
How do you assess vibration?
128 CPS tuning fork
on medial malleolus
Medial aspect of first MTP
How long do you feel vibration for
How do you assess discrimination of temperature?
Touch 6-7 random areas on foot with tuning fork
Cool, warm or neutral
How do you assess proprioceptive discrimination?
Move joint around and see if they can describe the direction it moved without looking
