Continue your Nursing Health Assessment. Please include rational for assessment techniques. (why do you assess a certain way and what findings are you looking for).
Cardiovascular Assessment:
Inspect and Palpate for Pulsations on Chest and at PMI (state what and where the PMI is located), describe.
Auscultate heart sounds in correct ausculatory areas.
First, use diaphragm of stethoscope. The, use the bell of the stethoscope. What do you hear and why? Correctly name ausculatory sites and state where S1 and S2 are heard the loudest.
Auscultate the rhythm and rate at the apex. Where is the apex? Compare with palpated radial pulse. Why is this important?
Palpate all pulse sites bilaterally. Where are they located? (2).Describe pulse in terms of rhythm & strength or grade(1).Assess carotid artery appropriately (1).
Palpate temperature of extremities and describe.
Inspect and palpate extremities for edema and capillary refill, compare both sides.
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CATAGORY |
Exemplary |
Competent |
Developing Competency |
Not competent |
|
Content |
Content demonstrates what has been learned in the course or readings. All components of the criterion are addressed in a comprehensive and thorough manner 5 pt. |
Content addressed but one or two areas needed more detail. Maximum 3pt. |
Content is superficial and not well developed. 1 pt. |
Did not address or very little content. 0 pt. |
|
Language |
Is clear, concise, and easy to understand. Uses terminology appropriately. 2 pt. |
Some proofreading errors or an incorrect terms 1 pt |
Unclear or incorrect language 0 pt. |
Answer :
Most commonly We can hear the point of maximal impulse at apex of heart that is medial to the midclavicular line at the fifth intercoastal space .
The S1 is loudest at the apex of the heart and it is due to the turbulance caused by the closing of atrioventricular (tricuspid and bicuspid ) valves .
The S1 is the first heart sound We can hear when systole comes causes lub sound .
It can be heared at right to the sternal border of the 2 nd intercoastal space represents lub sound .
S2 is loudest at the base and it is due to the turbulance caused by closing of the semilunar ( pulmonic ) valves.
S2 is the sound heart sound occurs at diastole causes dub sound .
S2 is heard at the left to the sternal border of the 2 nd intercoastal space represents dub sound .
Rhythm and rate at apex :
Normal rate of the heart is 60 to 100
If it is less than 60 called bradycardia.
More than 100 called tachycardia .
Rhythm : We can estimate the sinus rhythm is regular or irregular
If the apical pulse is 80 bpm is regular.
Auscultate the apical pulse while simultaneously palpate radial pulse . Every beat hear perfuse to periphery .
Where is the apex : apex of the heart is conical area created by left ventricle . It is directed towards downwards and forwards to left .it is located at the level of 5 th left intercoastal space,3.5 inches from the midline and medial to the midclavicular line .
Pulse sites :
2) pulse in terms of rhythm ,strength and grade :
Rhythm : tells about regularity whether the pulse rhythm is regular or irregular
Strenth : tells by whether it is bounding or threading .
Grade :
0 - absent pulse
+1 : thready pulse or weak
+2 : normal ,identifiable
+3 : increased pulse
+4 : fully bounding
Carotid artery assessment :
We can see the whoosing sound in carotid artery it indicate decreaed blood flow due to plaque formation or obstruction
Continue your Nursing Health Assessment. Please include rational for assessment techniques. (why do you assess a certain...
Continue your Nursing Health Assessment. Please include rational for assessment techniques. (why do you assess a certain way and what findings are you looking for). Please answer questions as if you are a nurse providing assessment to the a patient. Cardiovascular Assessment: Inspect and Palpate for Pulsations on Chest and at PMI (state what and where the PMI is located), describe. Auscultate heart sounds in correct ausculatory areas. First, use diaphragm of stethoscope. The, use the bell of the stethoscope....
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