NPS- Assessment by palpation Flashcards
What is the easiest palpation following delivery?
Umbilical pulsation
What is the easiest palpation for infants under 1 year old
brachial
What is the easiest palpation for infants older than 1 yo
carotid
When are poor pulses present?
in infants with shock, hypoplatic left heart syndrome, dehydration, or hypovolemia
Poor femoral pulses may indicate what cardiac issue?
coarctation of the aorta
What is coarctation of the aorta?
norrowing of the aorta
Normal infant heart rate
120-170/min
What should you obtain if there is any abnormalities in the infants heart rate?
120-170/min
What causes a drop in heart rate in infants (>120)
hypoxia
apnea
heart disease
valsalva maneuver
drugs
hypothermia
sepsis
What causes an increase in heart rate in an infant (<170)
Hyperthermia
heart disease
pain
crying
drugs
An alternating weak and strong beats and indicates myocardial failure…is what?
Pulsus Alternans
A heart rhythm that is weaker on inspiration and stronger on exhalation
pulsus paradoxus
Is pulsus paradoxus an emergency?
YES
What could pulsus paradooxus indicate?
an emergency such as cardiac tamponade, constrictive pericarditis, pericardial effusion, severe RDS, air trapping, anemia, hypovolemia, or tension PTX
Tracheal Deviation
Explain disease processes that would cause the trachea to be pulled to abnormal side or toward the pathology
pulmonary atelectasis- collapsed lung
diaphragmatic paralysis- paralysis of the diaphragm which causes improper inspiration
