Competency 1 Flashcards
artery palpation grading scale
0 no palpable pulse
1+ indicates a faint, but detectable pulse
2+ suggesting a slightly more diminished pulse than normal
3+ normal
4+ bounding pulse
aortic area
listen at 2nd intercostal space, the R lateral sternal border
S2
closure of semilunar valve
pulmonic area
listen at 2nd intercostal space, the L lateral sternal border
S2
closure of semilunar valve
erb’s point
listen at 3rd intercostal space, L of the sternal border
S3/4
MURMURS HERE
tricuspid area
listen at 4th intercostal space, either L of the sternal border
S1
AV valve closure
mitral area
listen at 5th intercostal space, at the mid-clavicular line of the L side of chest
S1
AV valve closure
ABI normal
above 0.9
ABI mild obstruction
0.71-0.9
ABI moderate obstruction
0.41-0.7
ABI severe obstruction
0.0-0.4
rubor dependency scale
normal
pink
<15s
rubor dependency scale
abnormal
bright red
>20-30s
edema grading scale
0 no depression
1+ barely perceptible
2+ pitting rebounds in <15 sec
3+ rebounds in 15-30 sec
4+ rebounds >30 sec