Neck Vessels Abnormal Findings

Question 1

what order should you perform a regional CV assesment?

Answer 1

1. pulse and BP
2. extremities
3. neck vessels
4. precordium

Question 2

what is carotid sinus hypersensitivty?

Answer 2

a condition where pressure on the carotid sinus causes decreased HR, BP and cerebral ischemia with syncope

Question 3

what does a diminished carotid pulse feel like? what does it indicate?

Answer 3

• small and weak
• decreased stroke volume

Question 4

what does an increased carotid pulse feel like?

Answer 4

full and fast paced

Question 5

what can you asses from the jugular vein?

Answer 5

the central venous pressure ( CVP)

Question 6

what can you judge using the CVP?

Answer 6

the heart’s efficiency as a pump and the intravascular volume status

Question 7

what is an abnormal finding of the jugular vein? what does it indicate?

Answer 7

• full distended external jugular veins above 45 degrees
• indicate increased central venous pressure as with heart failure