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