step 2 Flashcards
What happens at step 2?
Inspection of the hands and arms
running order of inspection of the hands and arms ?
peripheral cyanosis
splinter haemorrhage
tar staining
xanthomata
oslers nodes
laneway lesions
scamroths window
patient temperature
cap refill
radial pilse
both radials
collapsing pulse
What can peripheral cyanosis indicate?
congenital heart disease
heart failure
where do we look for splinter haemorrhages and what is it aligned to ?
on the finger nails
linked to ineffective endocarditis
Tar staining is indicative of what?
smoker
look at the palms of the hands for what?
xanthomata
laneway lesions
oslers nodes
what is xanthomata? what does it look like ? what is it linked to ?
hypercholestrolemia
yellowing on the palms of hands
ineffective endocarditis
what is osler’s nodes? what are laneway lesions? what are they linked to?
Osler’s nodes are painful lesions.
laneway lesions are non painful hemorrhagic lesions.
linked to ineffective endocarditis
what is schamroths window linked to?
co2 retention
patients temperature assessment
what can it indicate if it is low?
assess from above elbow to wrist this should be consistent with the patients core.
low peripheral temp can indicate poor circulation
what are we looking for when palpating radial pulse?
rate
rhythm
contour
what are we looking for when palpating both radial pulses ?
difference in pulses
when palpating both radials we are looking for a difference in pulses. what could a difference indicate ?
Aortic coarctation
what is a collapsing pulse? how do we assess for it? what can it be linked to ?
what do we need to ensure before doing ?
find the pulse and lift the patients arm above their head.
if the pulse diminishes or is lost its classified as a collapsing pulse and indicates aortic regurgitation.
ensure before done that the patient has no shoulder injury.
