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, - age related stiffening of the vasculature and decreased responsiveness to
stress hormones (assess for increased BP, possible S4 gallop)
- ventricular hypertrophy increase risk for heart filter and a-fib (assess for
irregular HR, weight gain, SOB, edema, fatigue, palatines)
- more likely to develop atherosclerosis and CV disease due to effect of
lifestyle choices (assess for chest pain, fatigue and SOB)
how do you inspect carotid arteries
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- inspect of visible pulsations
- use bell to auscultate each artery while instructing patient to hold their
breath, listen for a bruit
- palpate each carotid artery separately at level of cricoid cartilage (avoid
carotid sinus)
- palpate the strength (amplitude) of the pulse and grade it
what are some risk factor for cardiovascular disease
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high BP
smoking
diabetes mellitus
physical inactivity
obesity
high blood cholesterol
family history
medications
, infants and neonates lifespan considerations
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- do not undress baby until necessary
- 20% of down syndromes have cardiac abnormality
- cyanosis and mottling
- SS congenital heart disease
- jugular veins not examined
- palpate apical pulse to left of xyphoid at 4th ICS
what're the five A's of smoking cessation
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- ask
- advise
- assess
- assist
- arrange
venous ulcer
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