Nursing 1101W Lecture Notes - Lecture 10: Heart Block, Anatomical Terms Of Motion, Sympathetic Nervous System
4 Mar 2016
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Lecture 10 - cardio, peripheral & neuro vascular assessments. Current health status: include medications (dose & frequency) Past medical history: hypertension, cholesterol, murmur, rheumatic fever, anemia, disease. Family history: obesity, bp, cad, diabetes. Social habits: diet high in fat, calories or salt, smoking hx, alcohol use (etoh), drugs, amount of exercise. History: demographic information as done in previous assessments. Symptom analysis of presenting problem: oldcarts. Ask how many pillows they use at night, may have orthopnea. Nurses assess the cardiovascular system through observations (inspection), palpation, and auscultation. Palpation of upper and lower extremity pulses. Inspection of jugular venous distention: measurement of blood pressure bilaterally and while standing versus lying flat out or sitting. Inspection, palpation and auscultation of the heart. Rate, rhythm volume: absent, weak, thread, normal, full (bounding) Inspect the anterior chest wall for contour pulsations, lifts, heaves or retractions. Auscultate s1 and s2 heart sounds for rate, rhythm, pitch & splitting.
