Professional Documents
Culture Documents
Family history of heart attack -note for the route, dosage and
frequency of use
Family history of diabetes mellitus
5. Allergies- foods, drugs and note for
Cholesterol level manifestation during acute attack
• Caffeine
• Skin- assess foe central and
-↑the risk peripheral cyanosis
atherosclerosis
a. Central cyanosis- assess the skin,
- ↑ HR and BP thus buccal mucosa and nasal mucosa
precipitating angina,
palpitation and dysrhythmias May indicate severe
heart and lung
- limit caffeine intake to 8 oz diseases
of coffee/day to those with
known diseases
b. Peripheral cyanosis- check the
nailbed, earlobe and lips
• Alcoholism- an intake of 100 mg
of alcohol (3 beer) may increase Indicates peripheral
heart rate and BP vasocionstriction (ex:
reynauds disease)
-ask for daily and weekly
consumption of alcohol • Nails
D. Pulses
Late- indicate
dehydration, malnutrition - Note bilateral pulse
and advancing age
d. Temperature
- Assess for pulse deficit by counting
apical pulse simultaneously with radial
pulse
Warm- associated with
venous disorders and - Note for weakness, thready and if it is
thyrotoxicosis bounding
Pulmonary edema
(dyspnea and crackles)-
b. Internal Jugular Vein- most
LSCHF reliable indication of CVP
1. Pericardium
First Heart Sound (S₁)
• Note for size, symmetry and evidence
a. Closure of the AV valves
of any pulsation – record its location
during ventricular
in relation to MCL and IS
contraction
2. Heart Sounds
c. Best heard during
inspiration
• Cardiac Auscultatory Site
a. during passive and rapid filling of the The roughened parietal and
ventricles visceral layers of the
pericardium against each
other during cardiac motion
b. Early gallop that is heard during early
diastole
• Murmur
a. A pathologic
Common in patients with heart
condition and is produced
failure and anemia
by the mitral and
tricuspid valve stenosis 4. Abdomen
or aortic and pulmonic
insufficiency
• Ascitis