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