NSG 2317 Lecture Notes - Lecture 6: Clavicle, Jugular Venous Pressure, Intercostal Space

• School: University of Ottawa
• Department: Nursing
• Course: NSG 2317
• Professor: Patrick O' Byrne

Document Summary

Internal jugular vein attached more directly to sup. Vena cava and is more reliable to assess central venous pressure of the heart. Assessing jugular venous pressure- (cid:374)eed to k(cid:374)o(cid:449) a(cid:271)out it (cid:271)ut do(cid:374)"t (cid:374)eed to k(cid:374)o(cid:449) ho(cid:449) to do it. >4 cm while at 45 degrees occurs with heart failure. If o(cid:374) assess(cid:373)e(cid:374)t (cid:455)ou (cid:272)a(cid:374)"t lo(cid:272)ate the i(cid:374)ter(cid:374)al jugular, use the e(cid:454)ter(cid:374)al. Normal finding when pressing on right liver, is that veins rise for a few seconds then fall. Abnormal finding- veins remain elevated for as long as pressure occurs. Palpate precordium: for pulsations, place heel of hand over left sternal border, palpating for frills (throat of a purring cat)- signifies turbulent blood flow, use fingers over valve locations. Percuss cardiac borders: start in fifth intercostal space and move laterally, resonance at mid clavicular line, dullness slop medialy to superior intercostal space. Midde: thickened ventricle septum and walls (hypertrophy)