Cardiac Health Assessment
Pulses are bilateral and lie along the temporal bone lateral to eyebrow and flows to eyes
What are the temporal arteries?
The nurse asks the client, " Has anyone in your family been diagnosed with heart disease?"
What is collecting subjective data during a family health history?
A 3rd sound that may heard on auscultation, best heard at the apex, may outgrow
What is S3?
Carry oxygenated blood away from the heart and deoxygenated blood to the heart
What are arteries and veins?
This valve separates the right atrium from the right ventricle, and is assessed on the left sternal border at the 4th intercostal space.
What is the tricuspid vlave?
The nurse should count the radial pulse for a full minute under this condition?
What is irregular?
During a pulse assessment, this type of data includes heart rate, rhythm, and amplitude. The client also verbalizes heart palpitations, dizziness, and fatigue.
What is objective data and subjective data?
Occurs when the mitral and tricuspid valves do not close at the same time
What is splitting?
These vessels carry oxygenated blood from the lungs to the left atrium.
What are pulmonary veins?
This valve prevents blood from flowing backward into the left atrium when the ventricle contracts and is assess at the left sternal border, midclavicular line 5th intercostal space.
What is the mitral valve?
Three characteristics of assessing a pulse.
What are rate, rhythm, and amplitude?
The '"O" in OLD CARTS stands for this aspect of symptom assessment.
What is onset
This is the difference in the apical rate and the peripheral pulse rates.
What is the pulse deficit?
These two large veins bring deoxygenated blood from the body into the right atrium.
What are the superior and inferior veins?
This valve controls blood flow from the right ventricle into the pulmonary artery and is assessed at the left sternal border, 2nd intercostal space.
What is the pulmonic valve?
Use if pulse is not detectable, skin is cool, poor hair distribution, and dusky.
What is the Doppler?
The nurse asks," Does the pain occur at certain times of the day ?" Which part of OLD CARTS is this?
What is timing?
Coarse rubbing or grating sound from increased fluid in the pericardial sac
What is pericardial friction rub
These can only be assessed one at a time, with the bell of the stethoscope and when the client holds their breath.
What are the coronary arteries.
This valve opens to allow oxygenated blood to leave the left ventricle and enter the aorta and is assessed on the right sternal border, 2nd intercostal space.
What is the aortic valve?
These are pulsations that are felt instead of heard
What is a thrill?
Jugular vein distention is visible at a 45degree angle, with 3+ pitting edema on the bilateral ankles?
What is objective data?
This is unilateral swelling that usually occurs in the arms or legs, and is caused by a blockage or damage in the lymphatic system.
What is lymphedema?
This artery carries deoxygenated blood from the right ventricle to the lungs for oxygenation.
What is the pulmonary artery?
This location is ideal for hearing murmurs with both the aortic and pulmonic valves.
What is Erb's point?