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Heart and Peripheral Vascular Assessment
Flat neck veins (barley visible) are a sign of__________
dehydration or volume depletion
Low pulse strength is a sign of ______
HF, atherosclerosis, exercise, stress
5h left ICS @ MCL
________ replace chest percussion
s3 is abnormal in pt's over 40 years --> increased arterial pressure
s4 results from hypertension, hypertrophy or fibrosis
Use _____ to auscultate the carotid artery.
Apical pulse may not be palpable in ______ or _______ pts.
obese or elder
Most important part of Heart assessment is
Auscultating (use diaphragm)
Aortic & Pulmonic
s2 is louder (closing of the AV valves)
Tricuspid & mitral
s1 is louder than s2
Peripheral Vascular system
responsible for circulation oxygen & nutrients via blood stream
drains fluid from tissue
pt uses one arm more than the other
if color doesn't return within 3 seconds in the blanch test, it is usually due to;
vasoconstriction, decreased cardiac output, anemia, impaired circulation, arterial disease.
Rough or dry texture is a sign of;
Epitrochlear lymph nodes are located
under arms, not palpable
inguinal lymphnodes are located
inner thigh, may be palpable, < 2 cm
if one extremity is cooler than the other it can indicate;
tourniquet; fluid movement