Physical Assessment checklist: Cardiovascular and Peripheral Vascular System
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53 terms
Terms | Definitions |
|---|---|
 INTRODUCTION | . |
| Introduces self to patient | . |
| States purpose of examination | . |
| Ensures adequate exposure of the chest and extremities | . |
| Washes hands prior to examination | . |
| Demonstrates professionalism throughout the examination | . |
| CARDIOVASCULAR: INSPECTION | . |
| Inspects for apical impulse (patient sitting) | . |
| Inspects for pulsations (patient sitting) | . |
| Inspects for lifts or heaves (patient sitting) | . |
| Inspects for jugular venous pulsations and distention (patient at 30) | . |
| Differentiates between jugular and carotid pulse waves (patient at 30) | . |
| CARDIOVASCULAR: PALPATION | . |
| Palpates for lifts heaves, or thrills (finger pads) (patient at 30) | . |
| Palpates for thrills (ball of hand) (patient at 30) | . |
| Palpates 2nd intercostal space right sternal border (patient at 30) | . |
| Palpates 2nd intercostal space left sternal border (patient at 30) | . |
| Palpates 3rd intercostal space left sternal border (Erb's point, tricuspid area) (patient at 30) | ,. |
| Palpates 4th intercostal space left sternal border (tricuspid area) (patient at 30) | ,. |
| Palpates 5th intercostal space left sternal border (tricuspid area) (patient at 30) | ,. |
| Palpates 5th intercostal space at the apex (mitral area) (patient at 30) | . |
| Palpates for location of PMI (patient at 30) | . |
| CARDIOVASCULAR: AUSCULTATION | . |
| Auscultates precordium at 6 areas (in bold above) with DIAPHRAGM of stethoscope | . |
| Auscultates precordium at 6 areas (in bold above) with BELL of stethoscope | . |
| While auscultating notes "listening for S1, S2, S2 split, general rate and rhythm" | ,. |
| Auscultates for murmurs gallops, rubs, and clicks | ,. |
| Places patient in left lateral decubitus position and auscultates tricuspid and mitral areas with the BELL | . |
| Auscultates aortic and pulmonic areas with DIAPHRAGM (patient sitting leaning forward, exhales and holds breath out) | ,. |
| Follows order of examination by first inspecting then palpating, then auscultating | ,. |
| PERIPHERAL VASCULAR: BRUITS | . |
| Auscultates bilaterally for bruits in the carotid arteries | . |
| Auscultates for bruits in the abdominal aortic artery | . |
| Auscultates bilaterally for bruits in the renal arteries | . |
| Auscultates bilaterally for bruits in the iliac arteries | . |
| Auscultates bilaterally for bruits in the femoral arteries | . |
| PERIPHERAL VASCULAR: PALPATION | . |
| Palpates carotid arteries bilaterally for rate, rhythm and quality. | . |
| Palpates brachial arteries bilaterally for rate, rhythm and quality | ,. |
| Palpates radial arteries bilaterally for rate, rhythm and quality | ,. |
| Palpates femoral arteries bilaterally for rate, rhythm and quality | ,. |
| Palpates popliteal arteries bilaterally for rate, rhythm and quality | ,. |
| Palpates posterior tibialis arteries bilaterally for rate, rhythm and quality | ,. |
| Palpates dorsalis pedis arteries bilaterally for rate, rhythm and quality | ,. |
| Palpates the radial and femoral pulse simultaneously for quality AND notes for pulse lag (unilaterally) | . |
| Palpates for abdominal aortic aneurysm | . |
| Notes for peripheral edema | . |
| Notes for peripheral hair growth | . |
| Palpates nail beds in upper extremities for capillary refill | . |
| PERIPHERAL VASCULAR: LYMPH NODES (Palpates each bilaterally noting firmness, mobility, pain, and suppuration) | ,. |
| Axillary (bilateral) | . |
| Epitrochlear (bilateral) | . |
| Inguinal horizontal and vertical (bilateral) | . |
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