Cardio%20Vascular%20

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Cardio Vascular Lymphatic System AssessmentNRS
102

• Denise Coffey MSN, RN

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Anatomy Review
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Anatomy Review

• Chambers
• Atria right and left
• Ventricles right and left
• Valves
• Atrioventricular
• Tricuspid
• Mitral
• Semilunar
• Pulmonic
• Aortic

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Review Anatomy
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Heart sounds

• Direction of blood flow
• Cardiac cycle
• Diastole
• Systole
• Events in the right and left sides
• Heart sounds
• First heart sound
• Second heart sound
• Effect of respiration

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Heart Sounds

• Extra heart sounds
• Third heart sound
• Fourth heart sound
• Murmurs
• Characteristics of sound
• Frequency (pitch)
• Intensity (loudness)
• Duration
• Timing
• Conduction

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Neck vessels

• Neck vessels
• Carotid artery
• Jugular veins
• Internal
• External

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Review Anatomy
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Subjective Data Collection

• Chest pain
• Dyspnea
• Orthopnea
• Cough
• Fatigue
• Cyanosis or pallor

• Edema
• Nocturia
• Cardiac history
• Family cardiac history
• Personal habits (cardiac risk factors)

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Objective Data Collection

• Carotid arteries
• Palpate
• Auscultate for bruit
• Jugular veins
• Inspect the jugular venous pulse

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Objective Data Collection

• Auscultate the heart sounds
• Identify auscultatory areas
• Note the rate and rhythm
• Identify S1 and S2
• Listen to S1 and S2 separately
• Listen for extra heart sounds
• Listen for murmurs

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Landmarking for Heart Sounds
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Peripheral Vascular System

• Arteries
• Temporal artery
• Carotid artery
• Arteries in the arm
• Brachial
• Ulnar
• Radial
• Arteries in the leg
• Femoral
• Popliteal
• Dorsalis pedis
• Posterior tibial

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Peripheral Vascular System

• Veins
• Jugular veins
• Veins in the arm
• Veins in the leg
• Deep veins
• Femoral
• Popliteal
• Superficial veins
• Great saphenous
• Small saphenous
• Perforators (connecting veins)

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Peripheral Vascular System
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Peripheral Vascular System
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Peripheral Vascular System
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Lymphatic System
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Subjective Data

• Leg pain or cramps
• Skin changes on arm or legs
• Swelling
• Lymph node enlargement
• Medications

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Objective Data
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Objective Data

• LegsInspect and palpate
• Skin and hair
• Symmetry
• Temperature
• Calf muscle
• Inguinal lymph nodes
• Femoral pulse

• Popliteal pulse
• Posterior tibial pulse
• Dorsalis pedis pulse
• Pretibial edema
• Leg veins
• Assess while patient stands

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Objective Data Femoral Pulse
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Objective Data Popliteal Pulse
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Objective Data Posterior Tibial
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Objective Data Dorsalis Pedis
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Objective Data Pitting Edema
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Abnormalities

• Arms
• Raynauds syndrome
• Lymphedema
• Legs
• Arteriosclerosisischemic ulcer
• Venous (stasis) ulcer
• Superficial varicose veins
• Deep vein thrombophlebitis
• Occlusions
• Aneurysms