ch02b - Chapter2,Part2 Cardiology Part2:Assessmentand...

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    Chapter 2, Part 2 Cardiology
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    Part 2: Assessment and  Management of the  Cardiovascular Patient
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    Topics Assessment of the Cardiovascular  Patient Management of Cardiovascular  Emergencies Managing Specific Cardiovascular  Emergencies
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    Assessment of the  Cardiovascular Patient * (1 of 10) Scene Size-up and Initial Assessment Determine scene safety. Determine level of responsiveness. Airway. Breathing: Respiratory rate, rhythm, and quality Note breath sounds indicative of cardiovascular  problems. Circulation: Assess for signs of hypoperfusion Note color, temperature, turgor, moisture, mobility,  edema. Treat life-threatening problems immediately.
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    Assessment of the  Cardiovascular Patient * (2 of 10) Focused History Common Symptoms Chest pain - does not always present in pain OPQRST history of pain - design to assess  cardiac patient Dyspnea Onset Duration Provocation/palliation Orthopnea Cough
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    Assessment of the  Cardiovascular Patient  (3 of 10) Other Signs and  Symptoms Level of consciousness Diaphoresis Restlessness and  anxiety Feeling of impending  doom Nausea and/or vomiting Fatigue Palpitations Edema Headache Syncope Behavioral change Anguished facial  expression Grasping Chest Activity limitations Trauma
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    Assessment of the  Cardiovascular Patient  (4 of 10) Allergies Medications Nitroglycerin, propranolol, digitalis, diuretics,  antihypertensives, antidysrhythmics, lipid-lowering  agents Nonprescription drugs Cocaine Antihistamines Alcohol Analgesics Antacids
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    Assessment of the  Cardiovascular Patient  (5 of 10) Past Medical History Cardiac history Heart problems Other medical problems Family cardiac history Modifiable risk factors for heart disease (smoking, etc.) Last Oral Intake Caffeinated beverages Events Preceding the Incident Stress, strenuous or sexual activity
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    Assessment of the  Cardiovascular Patient  (6 of 10) Physical  Examination Inspection Tracheal  position Thorax Epigastrium
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    Assessment of the  Cardiovascular Patient  (7 of 10) Auscultation Breath  Sounds Adventitious  Sounds Heart Sounds Normal Abnormal
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  Assessment of the  Cardiovascular Patient  (8 of 10) Heart Sounds—created by closure of  valves "Lubb" sound represents closing of  atrioventricular valves (S1). "Dubb" sound represents closing of 
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This note was uploaded on 03/25/2010 for the course PAR 100 taught by Professor Alan during the Spring '10 term at Miramar College.

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ch02b - Chapter2,Part2 Cardiology Part2:Assessmentand...

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