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