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