subjective/objective HNV findings

what subjective data should be assesed for

chest pain, orthopnea, cough, fatigue, dyspenea, edema, nocturia, past cardio/fam hist, cyanosis/pallor

objective data assessments?

carotid artery, jvp, Precordial Exam, Auscultation Landmarks

upon inspection look for?

heaves or thrills which is assoc w/ ventricular hypertrophy

heaves at the r vent are seen where?

sternal boarder

heaves at the L vent are seen where?

apex

when side of the stethoscope do you use when auscultating the s1 and s2

the diaphragm, high pitched sounds

when side of the stethoscope do you use when auscultating the s3 and s4

the bell, low pitched sounds like mitral stenosis

Bilateral distention at >45 degrees of the jugular vein indicates?

increased central venous pressure (seen in HF), volume overload, or cardiac tamponade

a bruit sound indicates what?

turbulent blood flow

Unilateral distention of the JVD may indicate

local compression or kinking

signs of L sided heart failure?

Paroxysmal Nocturnal Dyspnea, and pulmonary congestion (crackles, wheezes, cough with blood-tinged sputum), dyspnea, orthopnea

signs of R sided heart failure?

phys signs of L heart failure?

tachycardia, an S3 gallop, and fatigue.

Pulse Deficit

difference between apical and radial pulse rates, suggesting atrial fibrillation