Cardiovascular Assessment8
Most common presenting s&s of abnormal cardiac manifestation - ANSWERSchest pain,
dyspnea, peripheral edema, weight gain, fatigue, dizziness, syncope, changes in level of
consciousness
Physical Assessment Skin - ANSWERSPallor, peripheral cyanosis, central cyanosis, Xanthelasma,
eccymosis
Physical Assessment Blood pressure - ANSWERSPulse pressure
Physical Assessment Arterial pulses - ANSWERSRate, rhythm, quality, pulse deficit
Physical Assessment of the heart - ANSWERS-Inspection
-Palpation
-Aortic ,pulmonic, Erbs point, tricuspid, PMI, epigastric
-Auscultation
-S1, S2, S3, S4, Snaps opening snaps and clicks murmurs, friction rub
Cardiovascular assessment inspection - ANSWERS-no pulsations are visible except at point of
maximum impulse (PMI).
-no lifts (heaves) or retractions are evident in four valve areas of chest wall
Cardiovascular assessment palpation - ANSWERS-no vibrations or thrills are evident
-no lifts or heaves are evident
-no pulsations are visible except at PMI and epigastric area
, Cardiovascular assessment vascular palpation - ANSWERS-note skin temperature, texture and
turgor
-capillary refill is no more than 3 seconds
-pulses should be in rhythm ad strength
4+ = bounding 3+ = Increased
2+ = Normal 1+ = Week
0 + absent
Cardiovascular assessment auscultation - ANSWERS-first heart sound (s1) heard best with
stethoscope diaphragm over mitral area
-second heart sounds (s2) hear best with stethoscope diaphragm over aortic sea
-third hear sounds (s3) hear best with stethoscope bell over mitral area
-addition heart sound (s4) heard best with stethoscope with stethoscope bell
Edema scale - ANSWERS0 = none observed
+1 = minimal (<2mm)
+2 = depression 2-4mm
+3 = depression 5-8mm
+4 = depressions >8mm
Normal BP reading - ANSWERS-based on 2 or more consecutive readings
<120 m Hg/ <80 mm Hg
Prehypertension - ANSWERS120-139 mm Hg/ 80-89 mm Hg
Hypertension Stage 1 - ANSWERS140-159 mm Hg/ 90-99 mm Hg
Most common presenting s&s of abnormal cardiac manifestation - ANSWERSchest pain,
dyspnea, peripheral edema, weight gain, fatigue, dizziness, syncope, changes in level of
consciousness
Physical Assessment Skin - ANSWERSPallor, peripheral cyanosis, central cyanosis, Xanthelasma,
eccymosis
Physical Assessment Blood pressure - ANSWERSPulse pressure
Physical Assessment Arterial pulses - ANSWERSRate, rhythm, quality, pulse deficit
Physical Assessment of the heart - ANSWERS-Inspection
-Palpation
-Aortic ,pulmonic, Erbs point, tricuspid, PMI, epigastric
-Auscultation
-S1, S2, S3, S4, Snaps opening snaps and clicks murmurs, friction rub
Cardiovascular assessment inspection - ANSWERS-no pulsations are visible except at point of
maximum impulse (PMI).
-no lifts (heaves) or retractions are evident in four valve areas of chest wall
Cardiovascular assessment palpation - ANSWERS-no vibrations or thrills are evident
-no lifts or heaves are evident
-no pulsations are visible except at PMI and epigastric area
, Cardiovascular assessment vascular palpation - ANSWERS-note skin temperature, texture and
turgor
-capillary refill is no more than 3 seconds
-pulses should be in rhythm ad strength
4+ = bounding 3+ = Increased
2+ = Normal 1+ = Week
0 + absent
Cardiovascular assessment auscultation - ANSWERS-first heart sound (s1) heard best with
stethoscope diaphragm over mitral area
-second heart sounds (s2) hear best with stethoscope diaphragm over aortic sea
-third hear sounds (s3) hear best with stethoscope bell over mitral area
-addition heart sound (s4) heard best with stethoscope with stethoscope bell
Edema scale - ANSWERS0 = none observed
+1 = minimal (<2mm)
+2 = depression 2-4mm
+3 = depression 5-8mm
+4 = depressions >8mm
Normal BP reading - ANSWERS-based on 2 or more consecutive readings
<120 m Hg/ <80 mm Hg
Prehypertension - ANSWERS120-139 mm Hg/ 80-89 mm Hg
Hypertension Stage 1 - ANSWERS140-159 mm Hg/ 90-99 mm Hg
