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