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Terms in this set (77)
This system retrieves excess fluid from the tissue space and returns it to the blood stream.
Allows blood within the veins to only flow one way.
This artery is palpated at the antecubital fossa in the elbow, medial to the biceps tendon
What artery is palpated on the dorsum of the foot?
Right subclavian vein
Where does the right lymphatic duct empty into?
What artery is palpated behind the knee?
What artery is palpated int he groin area?
ulnar and radial
What two arteries can be palpated on the wrist?
What is responsible for destroying old RBC'S, producing antibodies, storing RBC's and filtering MO's from the blood?
The walls of veins are __________ than those of the arteries?
What condition is caused by increased rigidity of peripheral blood vessels with age?
What is a dispostion of fatty plaques on the intima of the arteries?
A Stasis ulcer is a result of reduced _______ blood flow?
A ischemic ulcer is a result from reduced _______ blood flow?
Are small oval clumps of lymphatic tissue located at intervals along the vessels, and they serve as filters before returning fluid to the bloodstream.
This is checked by depressing and blanching the nail beds, releasing and noting color return time.
What do you call an intention left on the skin after it is depressed by the examiner?
Doppler Ultrasonic Stethoscope
What do you use if tyou are unable to palapte a pulse?
Modified Allen Test
What test do you use to evaluate the adequency of the circulation before cannulating the radial artery?
What do you call a sac formed by the dilation in the artery wall?
Carotid artery is directly off the heart.
Why is the carotid pulse palable and the jugular pulse is not?
What sound is heard better with the bell of the stethoscope?
What sound is heard better with the diaphram?
Supine 30 to 40 degrees
What position is used to best facilitate assessment of the jugular vein?
Right side heart failure
What might cause jugular venous distention?
Turbulence, swooshing and swishing
What do you hear if a bruit is presence?
What causes a bruit?
What is the pace maker of the heart?
Where is the sinoatrial node located?
Electrical impulse stimulates the heart to contract
What is the sinoatrial nodes job?
4th or 5th intercostal
Where is the best place to ausculatat the PMI? (point of maximal impulse? Apical Pulse>
S1 louder at the apex
Which sound is lounder and where? S1 or S2
What does the s1 sound indicate?
What does the s2 sound indicate? Where is it asuculated?
tricuspid and mitral
What valves are closing in S1?
aortic and pulmonic
What valves are closing in S2?
Aortic,pulmonary,Erbs point, tricuspid, mitral
What is the pattern used when auscultating the heart sounds?
A thrill is a palpable vibration. (Like a purring cat)
What sound does a precordium thrill make?
What does a palpable vibration indicate?
Gradual rise in systolic Bp, orthostatic hypotention, systolic murmurs, eptopic beatsm difficulty palpating the PMI
What are some hemodynamic changes of the cardiovascular in aging adults?
A weak contraction of the ventricle
What is a pulse deficit?
Atrial fib, premature beats and heart failure
What causes a pulse deficit?
S1 coincides with the carotid artery pulse
Why do you palpate the carotid pulse and auscultate the apex of the heart at the same time?
palpates both carotid pulses at the same yime
A teacher would intervene if a student nurse would do what?
in the front of the ear
Where is the temporal artery located?
Antecubical fossa of the elbow, medial to the bicep tendon
Where is the brachial artery located?
Passes under the inguinal ligament, Travels down the thigh
Where is the femoral artery located?
Behind the knee
Where is the popiteal artery best palpated?
Behind the medial mallous
Where do you palpate the posterior tibal pulse?
Dorsum of the foot
Where do you palpate the dorsalis pedis at?
Increased, full bounding occurs in a hyperkinetic state
Describe a 3+ pluse
What is rated a normal pulse?
Weak and thready
On the pulse scale which is this rated?
4+ deep pitting edema leaving indentations for a long time, Very swollen legs
Describe 4+ edema
3+ deep pitting edema leaving indentations for a short time swollen legs
Decribe 3 + edema
Moderate pitting indentations subsides quickly
Describe 2+ edema
Mild pitting no swelling of the legs
Describe 3+ edema
Arterioslcerosis, atherosclerosis, DVT, Heart failure, shiny skin
What are some health alterations seen in the vascular system of the aging adult?
Firmly press on the skin over the tibia(shin) or the media mallous for 5 seconds and release. no indentations should be left
How do you assess pre tibial edema?
unilateral swelling, non pitting brawny edema
What is lymphedema?
removal of lymph nodes, obstruction
What are the causes of lymphedema?
Prevents the lymph from being reasborbed into the body causing edema
What is prevented in lymphadema?
Where is the eptitrochlear node located?
infection distal to the lymph node
What does an enlarged epitrochlear node indicate?
hand and lower arm
Where would you inspect if you found an enlarged epitrochlear node?
Lower extremity, the external genitalia and anterior abdominal wall
What might you assess if you found a tender, swollen inguinal node?
Occlude both the right and left radial arteries
How do you preform a modified Allens Test?
What is another name for chronic arterial difficiency?
assess capillary refill, cyanosis, tingling, ulcers, think and rigid toenails
What are the symptoms of chronic arterial difficiency? CAD
Brown skin on legs, ventral ulcers weepy, drainy ulcers
What is a venous stasis ulcer look like?
Increased venous pressure causes RBCs to leak out of veins and onto skin. Leaving brown marks
What is venous stasis ulcers?
Pain in the gastrocnemius muscle when doriflexion of the foot
What does a positive Homan's test?
Elevate HOB, Call Dr Asap
What nursing interventions would the nurse provide for a positve Homans test?
What is the name of the valve in between the right atrium and the right ventricle?
Name the valve between the left ventricle and the left atrium
After leaving the right ventricle which valve opens?
After leaving the right ventricle which valve opens?
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