Week 7: CVS assessment Flashcards
What types of assessment are we including in the cardiovascular assessment ?
- Patient history
- Physical Assessment
- Psychosocial assessment
- Diagnostic assessment
Do we start with an subjective data or objective data when assessing cardiovascular assessment?
we ALWAYS start with subjective data!
What undergoes patient history ? when assessing for cardiovascular assessment?
risk factors: modifiable bs non modofiable
Past medical history
previous treatment/procedures
2.drug history
2.social history
3.nutritional history
4.family history
5.current heath history
6.functional history
What undergoes physical assessment when assessing cardiovascular ?
Inspection
Palpation
Ausculation
What else is important in terms of doing a subjective data when doing a cardiovascular assessment?
OPQRSTUV
Subjective data : we should look out for, name the symptoms when assessing for cardiovascular assessment
chest pain
dyspnea
orthopnea
cough
fatigue
cyanosis or pallor
edema
nocturia
cardiac history/family history
cardiac risk factors ( alcohol, exercise)
are you looking at unilateral edema or bilateral edema when assessing the subjective data in cardiovascular assessment ?
you are looking at bilateral pitting edema
When does the patient usually get fatigue ( when doing a subjective data on cardiovascular assessment)?
at the end of the day ( running out of energy)
what does ortopnea mean ?
the sensation of breathlessness in the recumbent position, relieved by sitting or standing
what is this describing? laying flat can increase pressure in the trunk = too much pressure causing you to be breathless
orthopnea
When doing an objective data in cardiovascular assessment, what are we expected to do as nurses ?
vital signs
peripheral vascular assessment
neck vessels
precordium ( the patients chest)
When doing a general survey of a patient whom we suspect has a cardiac poor cardiac health, what are we inspecting?
When we are doing our inspection, we look for clinical manifestations of poor cardiac health such as
- general build or appearance
skin color
distress level
LOC
SOB
position
verbal responses
** angina ** = chest pain
True or false. When we are doing our auscultating the neck vessels ( listening to the carotid artery) we want to use the bigger bell to listen to the whooping sound- this is our turbulent blood flow
- a whooping sound can indicate a arterial disease, and plaque build up.
false, you would want to listen with the smaller bell ( to hear it better) , it’s also not a whooping sound but a swooshing sound and this could help indicate a arterial disease!
True or false. In a normal finding when auscultating for the carotid artery in doing your neck vessel assessment it is important to not hear anything, and typically we ask the patient to hold their breath for a momentarily second, to listen to the carotid artery,
this is true.
What undergoes neck vessels when we are assessing it ?
Inspection : Jugular vein distension
Auscultation: carotid artery
Palpation : carotid pulses
