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  • Cardiac Exam Checklist

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    Zaidatul Atiqah Mustafa
    692 views4 pages
    The document is a checklist for conducting a cardiac examination that includes 25 steps to inspect, palpate, and auscultate the heart and peripheral vasculature. The examination evaluates vital signs, jugular venous pressure, apical impulse, heart sounds, murmurs, and peripheral pulses and appearance. Completing the full examination allows for a comprehensive assessment of the patient's cardiac structure and function.

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    Checklist of must do in cardiovascular system examination.

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    The document is a checklist for conducting a cardiac examination that includes 25 steps to inspect, palpate, and auscultate the heart and peripheral vasculature. The examination evaluates vital signs, jugular venous pressure, apical impulse, heart sounds, murmurs, and peripheral pulses and appearance. Completing the full examination allows for a comprehensive assessment of the patient's cardiac structure and function.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    692 views4 pages

    Cardiac Exam Checklist

    Uploaded by

    Zaidatul Atiqah Mustafa
    The document is a checklist for conducting a cardiac examination that includes 25 steps to inspect, palpate, and auscultate the heart and peripheral vasculature. The examination evaluates vital signs, jugular venous pressure, apical impulse, heart sounds, murmurs, and peripheral pulses and appearance. Completing the full examination allows for a comprehensive assessment of the patient's cardiac structure and function.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 4

    CARDIACEXAMINATIONCHECKLIST

    20122013

    Needto
    Practice
    Inspection(insittingposition)
    1. Patientappearance(Comfortable,wellappearing,anxious,
    shortofbreath,etc).
    2. Noteanycyanosis,clubbing,pallor,cachexia,and
    tachypnea(seeyourphysicaldiagnosistextfordefinition).
    Vitalsigns,carotidpulses,jugularvenousfindings:
    3. Checkradialpulsefor15seconds(Notepulserateinbeats
    perminute,alsonoteifpulseisregularorirregular).
    4. Determinebloodpressureineitherarm.Patientshouldbe
    insittingpositionwithYOUsupportinghis/herarmatheart
    level.Useappropriatesizedcuff,andlineupbrachialartery
    withlineoncuff.Pumpcuffto200soyoudonotmiss
    severesystolichypertension.(Warnpatientitmaybeabit
    uncomfortable.)
    5. Ideally,bloodpressureandpulseshouldbeassessedinboth
    thesupineandsitting(orstanding)positionsinorderto
    assessorthostaticchanges.Besuretoallowthepatient
    threetofiveminutestoequilibratetothenewposition.
    6. Positionpatientinsupineposition,withheadelevatedat30
    45degrees.Standtothepatientsright.
    7. Inspectrightcarotidartery:Turnpatientsheadtoleft,look
    forboundingpulses.
    8. Inspectrightinternaljugularveinwhilepalpatingright
    radialartery.LookforAwavesandVwaves(seetext).
    StatewhetherAwaveislarger,smaller,orthesameasthe
    Vwave.(ThisisNOTaneasytask.Dontbefrustratedif
    youcantseethewaves).
    9. Sequentiallypalpateeachcarotidpulse.Arethepulses
    equal?Assessvolumeandupstroke(bounding,diminished,
    ordelayed).

    Feel
    Comfortable

    CARDIACEXAMINATIONCHECKLIST
    20122013
    Needto
    Practice
    10. Sequentiallyauscultateeachcarotidarteryforbruitsor
    transmittedmurmurs.

    11. Statethejugularvenouspressureincentimetersofwater
    (seetext).
    12. Inspectprecordiumforabnormalpulsations.
    Palpation
    13. Palpatetheapicalimpulse,andnoteitslocation(e.g.5th
    intercostalspace,midclavicularline).Noteiftheimpulseis
    sharpordiffuse.
    14. Palpatetheleftparasternalbordersforrightventricular
    heavesorthrills(avibrationrepresentingaseveremurmur).
    15. Palpatethe2ndleftintercostalspaceforpulmonaryartery
    pulsations.
    16. Palpatethesuprasternalnotchforaorticpulsations.
    Auscultation(withheadofbedup3045degrees)
    17. Listentothefollowingareasoftheprecordiumwithboth
    thebellanddiaphragm:
    2ndrightintercostalspace
    2ndleftintercostalspace
    Leftlowersternalborder
    Apex
    18. Listenfor:
    S1andS2(Helpfulhint:Palpateacarotidpulsewhile
    listening.S2isafterthecarotidpulse).

    Feel
    Comfortable

    CARDIACEXAMINATIONCHECKLIST
    20122013

    CARDIACEXAMINATIONCHECKLIST
    20122013

    Needto
    Practice
    19. S3andS4(Thiscanbetricky.S4isbeforeS1andS2,andthe
    threebeatssoundlikeTennessee.S3isafterS1andS2,
    andthesoundismorelikeKentucky.)

    20. Othersoundstolistenforduringsystoleanddiastole:
    murmurs,rubs,clicks,openingsnaps(seeyourphysical
    diagnosistextfordetaileddescriptions).
    21. Askpatienttorollontoleftside.Identifytheapexby
    palpation(i.e.,thepointofmaximalimpulseorPMI).
    Usingthebell,listenattheapex.Thiswillbringoutmitral
    valveabnormalities.

    22. Askthepatienttositupandtoinhale,exhaledeeply,and
    thenleanforward.Listenovertheaorticandpulmonic
    areasforthediastolicmurmurofaorticinsufficiencyand
    forpericardialrubs.(Thismaneuverisaparticularly
    importantonetomasterandremember.)
    PeripheralVascularExam
    23. Inspectlowerextremitiesforsize,symmetry,color,
    temperatureandvenouspatterns(e.g.venousstasis).
    24. Palpatelowerextremitiesforsignsofedema.
    25. Palpatelowerextremityarterialpulses(i.e.dorsalispedis
    andposteriortibialarteries).

    Feel
    Comfortable

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