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Cardio Assess Unit 2

SPC Cardiopulmonary Assessment Unit 2 Exam 1 (Inspection)

Inspection (Head) (Central Cyanosis) 1. Requires 5g/dl of Desaturated Hb 2. Blue in lips and oral mucosa
Inspection (Head) (Pursed Lip Breathing) 1. For COPD 2. Prevents airway closure 3. Exhale x2 the time of inhale
Inspection (Eyes) (Pupillary Reflexes) 1. Perrla: Pupils sync, round, reactive to light and accommodation 2. Mydriasis: Dilated & fixed 3. Atropine 4. Brain Death 5. Cocaine O.D.
Inspection (Eyes) (Ptosis) 1. Miosis: Pinpoint 2. Opiate O.D. 3. Sunstroke 4. Ptosis: Drooping eyes 5. Myasthenia Gravis
Inspection (Neck) (JVD) An assessment method of quantifying R heart pressure. The degree of distention of the internal &/or external jugular veins at end-exhalation.
Most common cause of JVD? Cor Pulmonale
Inspection (Thorax) (Thoracic Configuration) 1. Barrel Chest: COPD 2. Pectus Carinatum: Pigeon Chest 3. Pectus Excavatum: Concave Sternum May cause restrictive disorders 4. Kyphosis: A-P curvature 5. Scoliosis: Lateral Curvature 6. Kyphoscoliosis: Causes a severe restrictive disorder
What is frail chest? Double fracture of 3 or more adjacent ribs
Inspection (Thoracic) (Breathing Pattern) 1. Restrictive: Rapid, shallow, decreased WOB 2. Obstructive: Pursed lips, prolonged exhalation, active neck accessories
Inspection (Thoracic) (Abdominal Paradox) The abdomen sinks upon inspiration Seen in patients with COPD with impending ventilator failure
Inspection (Thoracic) (Peripheral Cyanosis) 1. Blue at the nailbeds of toes & fingers often due to poor perfusion of the limbs, low cardiac output, COPD
Inspection (Thoracic) (Central Cyanosis) 1. Oral Mucosa due to severe shunting
Created by: Langhout1418