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