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