Jaundice Yellowing of the skin due to increased bilirubin Aortic Listen to right 2nd intercostal space Cap refill Helps to assess adequate circulation Neg. Babinski toes curl inward focused assessment One body system Grips/ Resistance Should be equal and strong mitral where to listen for the apical pulse bowel sounds should listen for these in each quadrant for 5 mind prior to documenting absent. Look listen feel proper abd assessment sequence Hypoxemia Decreased O2 in arterial blood Petechiae Purple/red spots on skin caused by small hemorrhages Cyanosis Bluish discoloration (from decreased O2 levels) dysrhthmia irregular heart beat PERRLA pupils equal round reactive to light and accommodation wheezes musical sounds Pulses rated 0-3+. Use doppler if you can't find one sinus bradycardia Regular rhythm but HR <60 bpm 1/2 inch Light palpation melanomas asymmetrical, irregular borders, blue/black in color, greater 6 mm diameter Ecchymosis Bruising Tenting A sign of dehydrstion pleural friction rub Metal on metal, grating Rhonchi Sounds like blowing air through milk with a straw rebound tenderness pain is greater when you release pressure JVD Can be a sign of Fluid overload STOP. Don't palpate Abd Bruit tender areas Palpate this last crackles Sounds like cellophane or dry hair sinus tachycardia Regular rhythm but HR >100 bpm Jaundice Yellowing of the skin due to increased bilirubin Aortic Listen to right 2nd intercostal space Cap refill Helps to assess adequate circulation Neg. Babinski toes curl inward focused assessment One body system Grips/ Resistance Should be equal and strong mitral where to listen for the apical pulse bowel sounds should listen for these in each quadrant for 5 mind prior to documenting absent. Look listen feel proper abd assessment sequence Hypoxemia Decreased O2 in arterial blood Petechiae Purple/red spots on skin caused by small hemorrhages Cyanosis Bluish discoloration (from decreased O2 levels) dysrhthmia irregular heart beat PERRLA pupils equal round reactive to light and accommodation wheezes musical sounds Pulses rated 0-3+. Use doppler if you can't find one sinus bradycardia Regular rhythm but HR <60 bpm 1/2 inch Light palpation melanomas asymmetrical, irregular borders, blue/black in color, greater 6 mm diameter Ecchymosis Bruising Tenting A sign of dehydrstion pleural friction rub Metal on metal, grating Rhonchi Sounds like blowing air through milk with a straw rebound tenderness pain is greater when you release pressure JVD Can be a sign of Fluid overload STOP. Don't palpate Abd Bruit tender areas Palpate this last crackles Sounds like cellophane or dry hair sinus tachycardia Regular rhythm but HR >100 bpm
(Print)
Yellowing of the skin due to increased bilirubin
Listen to right 2nd intercostal space
Helps to assess adequate circulation
toes curl inward
One body system
Should be equal and strong
where to listen for the apical pulse
should listen for these in each quadrant for 5 mind prior to documenting absent.
proper abd assessment sequence
Decreased O2 in arterial blood
Purple/red spots on skin caused by small hemorrhages
Bluish discoloration (from decreased O2 levels)
irregular heart beat
pupils equal round reactive to light and accommodation
musical sounds
rated 0-3+. Use doppler if you can't find one
Regular rhythm but HR <60 bpm
Light palpation
asymmetrical, irregular borders, blue/black in color, greater 6 mm diameter
Bruising
A sign of dehydrstion
Metal on metal, grating
Sounds like blowing air through milk with a straw
pain is greater when you release pressure
Can be a sign of Fluid overload
Abd Bruit
Palpate this last
Sounds like cellophane or dry hair
Regular rhythm but HR >100 bpm
