A systematic cardiac assessment involves checking carotid pulses for strength and rhythm, listening to heart sounds at four valve areas (aortic, pulmonary, tricuspid, and mitral) using a stethoscope, and measuring the apical pulse at the left midclavicular fifth intercostal space, with normal findings including symmetric pulses, regular rhythm, and absence of murmurs or gallops.
Deep Dive
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Deep Dive
541 - Unintentional ASMR - Assessment / Exam / Head to ToeAdded:
Hello. Hello. How are you doing today?
>> Pretty good. How are you?
>> Good. My name is Molly. I'm going to be your student nurse for the day. Okay, nice to meet you. Can I have you confirm your name and date of birth for me?
>> Yes, it's Sailor Stick, 7102. Okay, perfect. Um, so today I'm going to be doing a cardiac assessment on you. I'm going to be feeling your chest and taking your >> [clears throat] >> pulse and listening to heart sounds. Are you okay with that?
>> Yes. Okay, perfect. So, um, just a few questions. Do you have any uh history of like cardiac disease or No. Do you have any shortness of breath?
Um, no. Okay. Um, Okay. So, are you in any pain today? No.
Okay, perfect. So, we'll go ahead and get started. Oh, general survey. So, the patient is sitting upright. She's alert.
She is conversating. She's a pink to rosy, um, pale, um, and um, yes. So, are we ready to start? First, I'm going to take your uh carotid artery up here.
Okay.
Sorry.
Okay. So, both sides are symmetric and um, plus two in strength bilaterally and rhythm is regular.
So, now I'm going to listen to your uh carotid artery in the same spot. Okay.
Oh, I'm sorry. Um, whenever I put it on your skin, if you don't mind holding your breath.
>> Okay. Okay, so hold your breath.
Okay. Next side.
You can breathe really quick and then I'll have you redo with your breath.
Okay, and then hold your breath.
Okay, so no bruise present and once again both sides are symmetric.
Next we'll do I'm going to be listening or no, I'm going to take your apical pulse or just feel for it.
Okay, I'm sorry.
Sorry.
Okay, so apical artery is left mid clavicle fifth intercostal down. Um, kind of up on her.
Um next I'm just going to take a listen to your heart in different places.
So Okay.
So aortic Yes, you can breathe normal.
Okay.
Uh, pulmonary Okay, I'm going to do this. I'm sorry.
Tricuspid Okay, and then apical or mitral bicuspid?
Okay, so looked up I mean S1 and S2 present and regular rhythm.
So, next I'm going to do the same areas with a different part of my stethoscope, okay?
Um What's that?
Okay, so uh pulmonary or aortic?
Okay, uh uh aortic or pulmonary?
Tricuspid.
>> [snorts] >> And then mitral bicuspid.
I'm sorry.
Okay, so no presence of S3 or S4, no >> [snorts] >> um gallops or murmurs.
>> [snorts] >> Um Okay, so next I'm going to be taking your apical pulse.
>> [snorts] >> I'm just going be in that same area, I'm sorry.
>> No, you're good.
Okay, I'm going to take it for 60 seconds.
So, let me find it.
Okay.
>> Okay, so apical pulse is 70 beats per minute.
Um and it's a regular is regular.
Um >> [snorts] >> So, that concludes my assessment. Um I'm going to wash my hands. Do you need anything before I head out? I think I'm good. Thank you so much. Here's the call light, right for you. Um just let me know if you need anything.
>> Okay, thank you.
Okay, bye.
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