NUR1 235 Lecture Notes - Lecture 8: Pressure Overload, Pericardial Friction Rub, Weight Loss
7 Nov 2017
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Htn, dlp, heart murmur, congenital heart disease, rheumatic fever, anemia, dm, etc: people with diabetes can have a silent mi. Most recent ecg, stress ecg, serum cholesterol: family cardiac history children, siblings; does anyone have or has anyone had cardiac disease in your family, cardiac risk factors (lifestyle and personal habits) Nutrition, smoking, alcohol, exercise, drugs, medications, stress: focused questions (cardiac and pvs) Chest pain, dyspnea, orthopnea (unable to lie flat how many pillows do you sleep with at night? , cough, cyanosis or pallor, edema, nocturia. Leg pain or cramps, skin changes on arms or legs, swelling in arms or legs, lymph node enlargement, medications (e. g. oral contraceptives clots = Gingivitis can cause vegetation on heart valves. Recent travel extended periods of time without activity = dvt risk: emergency contact. Mild (almost undetectable) lower limb edema, new onset. S3: cardiac and peripheral vasculature assessment. S1: closure of av valves (end of diastole)
