ASSESSMENT OF CARDIAC FUNCTION

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abnrml101
ID:
61103
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ASSESSMENT OF CARDIAC FUNCTION
Updated:
2011-02-19 10:26:45
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SKILLS UNIT
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ASSESMENT OF CARDIAC FUNCTION
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  1. WHAT IS THE PURPOSE OF PULSE ASSESMENT?
    • ESTABLISH BASELINE
    • DETERMINE IF WITHIN NORMAL RANGE
    • DETERMINE IF RATE IS REGULAR
    • MONITOR CHANGES IN HEALTH
  2. WHAT DO YOU LOOK FOR WHEN ASSESING PULSE?
    • RATE
    • RHYTHM
    • QUALITY
  3. NORMAL ADULT RATE
    60-100 BPM
  4. TACHYCARDIA
    OVER 100 BPM
  5. BRADYCARDIA
    UNDER 60 BPM
  6. TYPES OF RHYTHMS
    • REGULAR
    • IRREGULAR
    • DYSRYTHMIAS
  7. WHAT IS THE SIANOATRIAL NODE?
    • SA NODE
    • PACEMAKER OF THE HEART
  8. TYPES OF PULSE QUALITY
    • STRONG
    • WEAK
    • THREADY
    • BOUNDING
  9. QUALITY IS DETERMINED BY
    • FORCE WHICH THE BLOOD IS EJECTED FROM THE VENTRICALS
    • STROKE VOLUME
    • COMPLIANCE OR ELASTICITY OF ARTERIES
  10. FACTORS THAT EFFECT PULSE RATE
    • AGE
    • MEDICATIONS
    • EXERCISE
    • TEMP
    • EMOTIONS
    • STIMULATION OF SYMPATHETIC NERVOUS SYSTEM
    • PAIN, ANXIETY, FEAR, CAFFEINE
  11. COMMON SITES TO ASSES PULSE
    • TEMPORAL
    • CAROTID
    • APICAL
    • BRACHIAL
    • RADIAL
    • FEMORAL
    • POPLIETEAL
    • POSTERIOR TIBIAL
    • DORSALIS PEDIS
  12. PURPOSE OF TAKING B/P
    TO OBTAIN BASELINE
  13. B/P GENERAL INFORMATION
    • TOO LARGE OR TOO SMALL A CUFF WILL GIVE INACCURATE READING
    • SYSTOLIC-TOP NUMBER CONTRACTION OF VENTRICALS
    • DIASTOLIC-BOTTOM NUMBER VENTRICULAR RELAXATION
  14. PULSE PRESSURE
    DIFFERENCE BETWEEN SYSTOLIC AND DIASTOLIC
  15. NORMAL B/P
    FROM 110/60-140/90
  16. HYPERTENSION
    • OVER 140/90 ON CONSECUTIVE READINGS
    • HTN
    • USUALLY ASYMPTOMATIC
    • KNOWN AS SILENT KILLER
    • THICKENING OR LOSS OF ELASTICITY OF ARTERIAL WALLS
    • FAMILY TENDENCY IS A RISK FACTOR
  17. HYPOTENSION
    • SYSTOLIC BELOW 90
    • DIALATION OF ARTERIES
    • LOSS OF BLOOD
    • PUMP FAILURE
    • MAY PRESENT WITH PALLOR CLAMMIENESS CONFUSION INCREASED HEART RATE DECREASED URINE OUTPUT
  18. ORTHOSTATIC HYPOTENSION
    • OCCURES ON RISING TO AN UPRIGHT POSITION
    • USUALLY OCCURES WITHIN 1 MINUTE OF STANDING
  19. ORTHOSTATIC VITAL SIGNS
    • TAKING B/P LAYING, SITTING AND STANDING
    • WAIT 1-3 MIN BETWEEN TESTS
  20. FACTORS EFFECTING B/P
    • AGE
    • ACTIVITY
    • WEIGHT
    • ETHNICITY
    • FEAR, ANXIETY, STRESS
    • PAIN
    • GENDER
    • SMOKING
  21. ACCEPTABLE AREAS TO TAKE B/P
    • BRACHIAL
    • RADIAL
    • POPLITEAL
    • POSTERIOR TIBIALIS/DORSALIS PEDIS

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