Nursing 1160A/B Lecture Notes - Lecture 4: Body Hair, Human Leg, Menopause
8 Dec 2016
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Hypoxemia: too low 02 sat (mostly in arteriole blood) Bluish tinge to oral cavity (mucous membranes) Social hx: how many drinks do you drink a week, how many in one sitting? (binge drinking) Bmi: man: (cid:883)(cid:882)(cid:884) cm, (cid:886)(cid:882)(cid:499, woman: 88cm, (cid:885)(cid:885)(cid:499, asians have smaller measurements. Inspection: cardio and peripheral vascular: size, colour, respirations, anterior chest, fingers nail beds, clubbing, lower extremity skin colour, body hair distribution, lesions, scars, edema. Palpation: pmi and peripheral pulses as relevant. Shouldn"t be able to see pulsations in aortic, renal, and iliac arteries. Unexpected heart sounds (s3 and s4: s1 signals beginning of systole, s2 signals beginning of diastole. Loudest at the base (top of the heart) Loudest at apex or left sternal border: caused by increased blood velocity, structural valve defects, valve. Murmurs: turbulence causing (cid:498)swooshing(cid:499) or (cid:498)blowing(cid:499) sound. Infants will present differently because their bodies aren"t mature yet.
