Help Complete Write Explained for Students (Easy Guide)
Understanding this question requires applying core subject principles.
What This Question Is About
This question relates to help complete write and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves help complete write. A strong answer should include explanation, application, and examples.
Original Question
Can you help me complete a write up of a cardiovascular assessment using this outline? My name is Valerie Ward I am a student nurse practitioner at United States University I would like to do an assessment of your cardiovascular system. Do I have your permission to record this assessment, and upload it to YouTube as unlisted for my professor to view and grade? The date is The time is 360 of room Will you give tell me your initials and date of birth? I will wash my hands Are you having any pain today? I would start the assessment by taking BP on both arms separately in a supine and also in a sitting position I will compare the BP’s noting any orthostatic changes in the BP. I am inspecting the neck I am noticing that the trachea and esophagus are midline. There are no deviations there are no heaves or lifts. I will place the patient at a 30-45-degree angle I will have the patient turn their neck slightly to the left I am noticing the jugular vein pulsation, and I am going to measure the jugular venous pressure. I take my ruler and place it in the sternal notch and as I do that, I am looking for the point of highest oscillation of the jugular venous pulse. Jugular venous pressure is 1.5cm with the head of the bed at 30 degrees and this is normal. Jugular venous pressure should be less than 3cm. I will now palpate the carotid arteries; I am checking for any thrills and I do not feel any. The carotid pulse on the right side is 2+ pulse and it has a regular rhythm. if I were to palpate the here for a full minute the heart rate would be in the 70-80s. I will have the patient turn their head slightly to the right and I will palpate for the carotid pulse on the left. I will make sure to palpate these separately so that I do not occlude perfusion to the brain. The right carotid pulse is also a 2+, I do not notice any thrills and it is a regular rate and rhythm. I will auscultate the carotid arteries. I will ask the patient to hold their breath I will listen to both sides with the diaphragm and the bell of the stethoscope. I do not notice any bruits, thrills or turbulence on either side. There is a regular rate and rhythm and it is a smooth brisk sound and that is a normal finding. I am going to examine the chest. In the clinic I would have them take the shirt off but for modesty reason in the video I’m going to have them leave the shirt on. I notice the symmetry of the chest, the sternum is midline. There is no pectus excavatum or pectus caronatum They have a symmetric chest, there are no signs of distress, no ecchymosis. There are no precordial pulsations, no obvious heaves or lifts and here at the point of maximal intensity I don’t see an apical pulsation. The point of maximal intensity is mid-clavicular fifth intercostal space. Typically the PMI is the apical impulse. I will ask the patient to hold breath, roll on the left side I will check for thrills with the ball of my hand I will check for heaves using my finger pads I am going to palpate the abdominal aorta I will press firmly deep in the epigastrium, slightly to the left of the midline Normal aorta is <3cm I am looking for the absence or presence of pulsatile mass. Now I will auscultate I am going to start by auscultating the aortic it is the right sternal border in the 2nd intercostal space. I will listen with the diaphragm Pulmonic is the left sternal border in the 2nd intercostal space Tricuspid is lower left sternal border in the 4th intercostal space Mitral is left 5th intercostal, medial to the midclavicular line I will then auscultate the same 4 areas with the bell Aortic right sternal border in the 2nd intercostal space. Pulmonic in the left sternal border in the 2nd intercostal space Tricuspid lower left sternal border in the 4th intercostal space Mitral left intercostal, medial to the midclavicular line I do not hear any murmurs, gallops, clicks or friction rubs Then I will auscultate with the bell and the diaphragm at Erbs point which it's the left 3rd intercostal space. It is at Erb's point that I might hear the splitting of S1 and S2 and it can be best heard on inspiration. Lower vascular resistance of the pulmonary artery delays pulmonic valve closure I do not hear a splitting of S1 and S2 I am going to auscultate the abdominal aorta artery There are no bruits I am going to observe all 4 extremities I am looking for color and the skin is pink it is dry and intact, there is no edema, varicose veins or shunts. There is no cyanosis. I am going to palpate pulses bilaterally except for the popliteal, I am checking to see if they are symmetric and equal. starting with the Radial -they are strong plus 2 there are no thrills there is a regular rate and rhythm, the pulses are symmetric Brachial- they are strong plus 2 there are no thrills there is a regular rate and rhythm pulse are symmetric Femoral- plus 2 strong, no thrills regular rate and rhythm pulses are symmetric. I will also auscultate the femoral pulses Popliteal- strong plus 2 no thrills regular rate and rhythm Dorsalis pedis-strong plus 2 regular rate and rhythm they are symmetric Posterior tibial- strong plus two regular rate and rhythm they are symmetric I will check the cap refill in all ten fingers and toes. I will do this by applying pressure to the nail bed until it turns white and I will count how many seconds it takes to turn back to pink. They are all less than 2 seconds. At the same time I am checking all of the fingers and toes for clubbing, cyanosis, splinter hemorrhages and tar staining. That concludes my Cardiovascular exam.
******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."
