Scribd Logo
Importer

Bienvenue sur Scribd !

  • #2 Cardiac Assessment

    Transféré par

    runnermn
    14 vues7 pages
    This document outlines the steps for a cardiac assessment, including evaluating a patient's history of chest pain, heart disorders, habits, and psychosocial factors. The physical assessment involves checking the apical pulse, heart sounds like S1 and S2, and listening for irregular rhythms, murmurs, gallops or other abnormal sounds. Signs of problems include tachycardia, bradycardia, pulse deficits, ectopic beats, or heart block. The assessment process may be more difficult for older adults due their increased risk of issues like thickened valves, decreased cardiac reserve, and arteriosclerosis.

    Description originale:

    education

    Titre original

    cardiac

    Copyright

    © © All Rights Reserved

    Formats disponibles

    PPTX, PDF, TXT ou lisez en ligne sur Scribd

    Avez-vous trouvé ce document utile ?

    Ce contenu est-il inapproprié ?

    Signaler ce document
    This document outlines the steps for a cardiac assessment, including evaluating a patient's history of chest pain, heart disorders, habits, and psychosocial factors. The physical assessment involves checking the apical pulse, heart sounds like S1 and S2, and listening for irregular rhythms, murmurs, gallops or other abnormal sounds. Signs of problems include tachycardia, bradycardia, pulse deficits, ectopic beats, or heart block. The assessment process may be more difficult for older adults due their increased risk of issues like thickened valves, decreased cardiac reserve, and arteriosclerosis.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PPTX, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    14 vues7 pages

    #2 Cardiac Assessment

    Transféré par

    runnermn
    This document outlines the steps for a cardiac assessment, including evaluating a patient's history of chest pain, heart disorders, habits, and psychosocial factors. The physical assessment involves checking the apical pulse, heart sounds like S1 and S2, and listening for irregular rhythms, murmurs, gallops or other abnormal sounds. Signs of problems include tachycardia, bradycardia, pulse deficits, ectopic beats, or heart block. The assessment process may be more difficult for older adults due their increased risk of issues like thickened valves, decreased cardiac reserve, and arteriosclerosis.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PPTX, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 7

    #2 Cardiac Assessment

    Patient Assessment
    Cardiac Assessment:
    Chest pain (angina)
    History of heart disorders (MI, CHF, Valvular)
    Other body systems (Respiratory, PV)
    Personal habits (wt., diet, salt, meds, tobacco, drugs, exercise)
    Psychosocial factors:
    Marital status, occupation, education, economics, personality type, general state of
    health
    Physical Assessment
    Apical pulse (PMI @ mitral area)
    Retraction, Lift, Heave, Thrill
    Tachycardia = >100 BPM
    Bradycardia = < 60 BPM
    Pulse Deficit = weak, ineffective contraction of L ventricle.
    Impulse is not perfused
    Ectopic Beats = abnormal impulses that originate outside
    normal conduction pathyways
    Heart Block = Block in normal conduction pathway
    Physical Assessment
    Auscultate heart rhythm:
    Dysrhythmias / Arrhythmia abnormal HR or irregularity
    of rhythm
    Bigeminey or Trigeminy irregular rhythms that occur in a
    pattern (q 2 or 3 beats)
    Irregular irregularity sporadically or with frequency &
    disorganization (atrial fibrillation)
    Sinus arrhythmia gradual increase or decrease in heart
    rate correlated with inspiration & expiration
    Heart Sounds
    S1 = first heart sound
    S2 = second heart sound
    Abnormal extra sounds:
    Ejection sounds (clicks) r/t deformed valvular opening
    heard in systole
    Opening snap heard with opening of stenotic valve in
    diastole
    Pericardial friction rub leathery/grating sound heard with
    pericarditis
    Murmurs: turbulent blood flow, grade I-VI, valvular &
    septal defects
    Gallops: S3 & S4 heart sounds r/t a noncompliant ventricle
    during diastolic filling
    Heart Sounds
    Variation for the Older Adult
    Thickening and hardening of valves
    Decreased cardiac reserve
    Fibrosis of conduction system
    Difficult to find apical impulse
    Increased HR
    Premature beats
    Murmurs
    Angina arteriosclerosis of coronary arteries

    Vous aimerez peut-être aussi