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MedSurge-CARDIO
Med Surge CARDIO review
| Question | Answer |
|---|---|
| Check Conjuctiva, lower lids for signs of? | anemia |
| Lack of hair on areas of lower limbs may indicate _____ _____. | vascular disease |
| Lower limbs should be inspected for? | cellulitis, varicose veins, ulcers |
| By age 75, a person may have only _____% of the normal number of pacemaker cells, which accounts for? | 10%, sinus dysrhythmias |
| In elderly, the PR, QRS and/or QT intervals (increase / decrease) | increase, in about 50% of elderly |
| Area around the mouth should be checked for? | iron deficiency anemia (visible w/cracking) / Vitamin B deficiency |
| Tongue should be checked for signs of _____. | dehydration (swollen tongue) |
| Hypertension (is / is not) considered a normal part of aging process? | is not; should be treated |
| Postprandil Hypotension is? | decrease in BP by @ 20 mmHg within 75 minutes of eating |
| Fingernail clubbing is indicative of? | chronic respiratory or cardiovascular disease |
| Internal Jugular Vein (JVP) should be below _____ cm. | 2cm |
| A raised JVP may indicate what? | right sided heart failure / classic sign of HTN |
| Carotid pulse should be checked for? | bruit (sign of sever coronary artery disease), use bell |
| Pericarditis can be assessed at which areas? | precordium area / mitral area |
| Point of maximum impulse is at the _____. | apex (at the 5th intercostal space, mid-clavicular line) |
| If you cannot palpate apical pulse while pt. is supine, what should be done? | have pt. turn onto their left side, so heart is closer |
| Diaphram picks up _____, bell picks up | higher pitched; lower pitched heart sounds |
| Check Conjuctiva, lower lids for signs of? | anemia |
| Lack of hair on areas of lower limbs may indicate _____ _____. | vascular disease |
| Lower limbs should be inspected for? | cellulitis, varicose veins, ulcers |
| By age 75, a person may have only _____% of the normal number of pacemaker cells, which accounts for? | 10%, sinus dysrhythmias |
| In elderly, the PR, QRS and/or QT intervals (increase / decrease) | increase, in about 50% of elderly |
| Area around the mouth should be checked for? | iron deficiency anemia (visible w/cracking) / Vitamin B deficiency |
| Tongue should be checked for signs of _____. | dehydration (swollen tongue) |
| Hypertension (is / is not) considered a normal part of aging process? | is not; should be treated |
| Postprandil Hypotension is? | decrease in BP by @ 20 mmHg within 75 minutes of eating |
| Fingernail clubbing is indicative of? | chronic respiratory or cardiovascular disease |
| Internal Jugular Vein (JVP) should be below _____ cm. | 2cm |
| A raised JVP may indicate what? | right sided heart failure / classic sign of HTN |
| Carotid pulse should be checked for? | bruit (sign of sever coronary artery disease), use bell |
| Pericarditis can be assessed at which areas? | precordium area / mitral area |
| Point of maximum impulse is at the _____. | apex (at the 5th intercostal space, mid-clavicular line) |
| If you cannot palpate apical pulse while pt. is supine, what should be done? | have pt. turn onto their left side, so heart is closer |
| Diaphram picks up _____, bell picks up | higher pitched; lower pitched |
| Normally there is a reduction of _____ mm Hg in SBP supine to standing position | 20 |
| BP measurements may vary from _____ to _____ mm Hg bilaterally | 5, 15 mm Hg |
| Normal pulse will feel like a ____, narrowed or bulging vessel wall will _____. | tap, vibrate |
| Heaves are? | sustained lifts of the chest wall in the pre-cordial area that can be seen or palpated |
| S1, S2 sounds are best heard with the _____ of the stethoscope | diaphragm |