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