Advanced Health Assessment Cardiovascular SOLUTIONS 100% PASS

Advanced Health Assessment Cardiovascular SOLUTIONS 100% PASS What is the first step in the cardiovascular assessment ? - ANSWER Supine with HOB 30 degrees: - JVP - Carotid Pulses - Inspect and palpate pericordium - PMI Where would you inspect and palpate the pericordium ? - ANSWER 2nd R/L intercostal spaces What is the pericordium? - ANSWER The region of the thorax directly in front of the heart. What is another term for the apical pulse - ANSWER Point of maximum impulse What do you measure when assessing the PMI - ANSWER diameter, location, amplitude, and duration How do you measure the PMI - ANSWER - Lay the patient on their left, lateral, decubitus - Listen with the bell of the stethoscope What are the six regions of the heart you auscultate with he bell and diaphragm. - ANSWER Aortic, pulmonic, erbs, tricuspid (2) and mitral What technique is used to auscultate aortic regurgitation - ANSWER Sitting the client up and having them lean forward while exhaling fulling and auscultation with the diaphragm What last longer, diastole or systole? - ANSWER diastole When does cardiac upstroke occur? - ANSWER During systole Where is S1 heard the loudest? - ANSWER apex of the heart Where is S2 heard the loudest? - ANSWER base of the heart What occurs during inspect of the cardiovascular system? - ANSWER PMI or apical pulse Where is the point of maximal impulse? - ANSWER 4th or 5th ICS, 7-9 cm from sternum What occurs during palpation of the cardiovascular system? - ANSWER - Heaves and Lifts ~ flat palm (rhythmically lift; may indicate chamber enlargement) - Thrills ~ ball fo your hand (buzzing or vibratory; underlying turbulent blood flow ~ auscultate for a murmur if felt.) - RV impulses ~ subxiphoid region - S1 and S2 ~ firm pressure on the chest wall