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Cardiac Focused

Cardiac Focused Assessment

QuestionAnswer
Introduce yourself and explain what you are going to be doing to the patient.
Wash Hands, provide privacy, and raise the bed to a comfortable working level
Start by inspecting the patient for any abnormalities like Edema or Cirrohis in the feet and lower extremities.
Palpate dorsalis pedis, posterior tibialis, popliteal, & femoral pulses and check for symmetry.
Inspect the patients upper extremities for any abnormalities and palpate and check for symmetry of the radial pulses.
Assess Capillary refill is <3 seconds.
Inspect & palpate PMI. (point of maximal impulse) @ apex of the heart, approximately mid clavicular 5th intercostal space.
Auscultate PMI.
Inspect, Palpate, & auscultate (with bell & diaphram) the aortic, pulmonic, tricuspid, mitral heart sounds of S1 & S2 or extra heart sounds S3 & S4. Making note of any abnormalities such as: Bruits (murmurs) (All Patients Take Meds)
Check the carotid arteries and jugluar veins, inspect for JVD
Once complete, make sure the patient is comfortable, lower the bed, raise the bed rails, put the call bell in reach and wash your hands.
Document the procedure.
Created by: jessicaspring