JVP

Question 1

step 1

Answer 1

bed 45 degrees

Question 2

step 2

Answer 2

ask patient to turn head to one side

identify and ensure sternocleidomastoid is relaxed

Question 3

step 3

Answer 3

cast light obliquely across lower neck to identify manubriosternal junction

Question 4

step 4

Answer 4

measure height of venous pulsation above MSJ normal pressure is just visible between heads of sternomastoids slightly higher

pulsation - raised jvp

Question 5

step 5

Answer 5

hepatojugular reflex

check if patient has pain
press on right upper quadrant of abdomen
jvp raised for a few seconds
retruns to normal with continued pressure

Question 6

if jvp remains raised with continued pressure what does this indicate

Answer 6

right heart failure

Question 7

which of these is occluded by light pressure above the clavicle

a. jvp
b. carotid artery

Answer 7

a.jvp

Question 8

does the jugular vein or carotid artery fill from the top down

Answer 8

jugular vein

Question 9

is the jugular vein or carotid artery decreased on inspiration

Answer 9

jugular vein

Question 10

what happens to the jvp when lying flat

Answer 10

elevates

Question 11

how many beats are there in the jugular vein per cycle

Answer 11

2

Question 12

what is the waveform of the jvp described as

Answer 12

biphasic

Question 13

what are the waves of the jvp known as

Answer 13

a and v

Question 14

what is the a wave caused by

Answer 14

right atrial contraction

Question 15

what is the v wave caused by

Answer 15

passive filling when tricuspid valve is closed