Anatomy
Which intercostal spaces does the heart extend over?
What are the 2nd to 5th intercostal spaces?
Your assessment findings include 3+ pitting edema to the LE bilat, decreased urine output, increased SOBOE and cough. You just applied 2L O2 for a SpO2 of 89%. From your assessment, you recognize your patient's diagnosis as ______.
What is CHF exacerbation?
We use a rough ___ pattern when auscultating the heart.
What is Z pattern?
The most obvious question to ask your patient regarding a cardiac assessment.
What is experiencing chest pain?
Name the 4 categories in order, for the sequence of assessment.
What are Pulse & BP, Extremities, Neck Vessels, Precorium.
This heart sound is best heard at the base.
What is S2?
You have just admitted a patient with an ischemic diabetic foot ulcer with significant PAD. This patient is experiencing increased pain and weak pulses to the foot. You are concerned about worsening ischemia. What tool will you likely need to use to ensure adequate monitoring?
What is a doppler?
This sound occurs with the closer of the AV valves.
What is S1 (lub)?
Your pt states that they have recently started using 4-5 pillows at night to "help them breathe". This is documented as ______.
What is Orthopnea?
In emergent situations, this pulse is used d/t accessibility and usefulness in evaluating heart activity.
What is the Carotid artery?
These vessels return deoxygenated blood to the right side of the heart.
What are the Superior and Inferior Vena Cava?
Your patient is admitted with a CHF exacerbation; you would anticipate this finding when auscultating the chest.
What are crackles in the lungs?
You can hear the heart sounds equally here.
What is Erb's point?
These 3 subjective data symptoms could be cardiac or respiratory in nature.
What are SOB, Cough, and Fatigue?
A palpable vibration, signifying turbulent blood flow.
What is a thrill?
This great vessel carries oxygenated blood to the body.
What is the Aorta?
Your patient has a hx of atherosclerosis. They are complaining of increased pain to their left lower leg. You assess and find that the leg is pale and cooler than the right, pulse is decreased, and they state that it feels like "pins and needles". With this information, what do you think is happening?
What is an arterial occlusion?
If an irregularity is heard, your next step is to assess this.
What is assessing a pulse deficit?
We always want to consider the impact of a diagnosis on this part of our pt's lives.
What are ADLs?
These two tests have replaced percussion d/t better accuracy.
What is a CXR or Echocardiogram?
This is created by the apex beating against the chest wall.
What is the Apical pulse?
Your patient is complaining of sudden onset 9/10 chest pain. You check VS and prepare to call the doctor for a cardiac workup. You know this entails this test and these two specific labs.
What are an ECG and CK and Trops?
This sound occurs just after S2 at the end of ventricular diastole.
What is S3?
Your patient has a history of Angina; you anticipate that they would have this specific medication ordered.
What is Nitroglycerine?
A bruit indicates blood flow turblance. They are often indicative of narrowed arteries secondary to ________.
What is Artherosclerosis.