AHN 568 USA Exam 3 Health Hx, CV/PV Assessment
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Place a card _____ from the oscillation point; place a ruler
(cm) _____ vertically from the angle of louis to form a right
angle with the card - ANSWER-horizontally; vertically
Measure the vertical distance on the ruler _____ to
account for placement above the RA=JVP in cm -
ANSWER-+5
What is considered an elevated JV pressure? - ANSWER-
>8cm above the RA or >3cm above the sternal angle
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What are two important things to note in an inspection for
JV pulsations? - ANSWER-amplitude and timing; also
check HJR
Why is the R IJ used in a JV exam? - ANSWER-because it
is a better estimate of pressure as it relates to volume
status of R atrium and its in line with SVC and RA
Turn pt head slightly to the ____ side, if u have trouble
seeing oscillation point u can ellicit HJR by doing what? -
ANSWER-left; pressing on R upper abd over liver and it
will push volume of fluid up towards SVC
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If a patient is hypervolemic, which way would you possibly
need to move the HOB? - ANSWER-raise HOB
If hypovolemic pt which way would you possibly need to
move HOB? - ANSWER-a little lower
Is jugular or carotid more easily palpable? - ANSWER-
carotid; jugular are rarely palpable
What is one way to distinguish carotid vs jugular
pressure? - ANSWER-put fingers over oscillation point and
if you can obliterate with that pressure and point does
change it is jugular; if you cannot obliterate with pressure
and point does not change it is carotid
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For a jugular venous exam you are only using what
assessment technique? - ANSWER-inspection
For a carotid exam, you are using which assessment
techniques? - ANSWER-inspection, auscultation and
palpation
During the carotid exam, you are inspecting with HOB at ?
- ANSWER-30 degrees
Why is it so important to auscultate before palpation
during a carotid exam? - ANSWER-if there is plaque you
dont want to push around and risk the plaque to loosen up