cardiovascular assessment

cardiovascular assessment

an evaluation of the condition, function, and abnormalities of the heart and circulatory system.
method The patient is asked to describe the onset, duration, location, and characteristics of any pain present and the occurrence of weakness, fatigue, shortness of breath, fever, coughing, wheezing, and palpitations. Questions are asked about episodes of fainting, indigestion, nausea, edema of extremities, cyanosis, and vision changes, and whether the hands and feet ever feel numb or cold. The person's general appearance, assumed position, rate and rhythm of all arterial pulses, presence of pulsus paradoxus or pulsus alternans, and the distention, pulsation, and pressure of neck veins are observed. Blood pressure, temperature, and rate and character of respirations are checked. The precordium is examined for the point of maximal impulse, symmetry, the cardiac border, pulsations, and evidence of lifts or bulges. Auscultation of the chest is performed to determine the intensity, pitch, duration, timbre, origin, and frequency of heart sounds and murmurs and to identify the location and character of breath sounds, including crackles, rhonchi, and rubs. Color, temperature, turgor, and dryness or sweating of the skin are noted, and the appearance of the extremities, capillary filling time, nails, and lesions are described. The patient's level of consciousness, reflexes, neurological signs, and responses to pain are recorded, along with data on concurrent hypertension, obesity, diabetes, and any pulmonary and renal conditions. Information is obtained about any previous cardiovascular surgery and illnesses, such as rheumatic fever, myocardial infarction, angina, congenital heart disease, occlusive vascular disease, and lung and kidney disorders. Pertinent background data include the patient's response to stress; coping methods; relationships; occupation; environment; sleep pattern and number of pillows used; exercise level, including number of blocks walked and flights of stairs climbed; leisure activities; and use of alcohol, tobacco, and other drugs. Other factors considered in the evaluation are the patient's history of medication with digitalis preparations, antihypertensives, diuretics, aspirin, sleeping pills, over-the-counter cold and influenza remedies; use of illegal drugs such as cocaine; and family history of heart disease, hypertension, diabetes, obesity, vascular disorders, stroke, and renal disease. Diagnostic aids are electrocardiogram, chest x-ray film, echocardiogram, radionuclide imaging, coronary arteriogram, cardiac catheterization, and arterial and pulmonary wedge pressure readings. Appropriate laboratory studies include a complete blood count, hemoglobin and hematocrit determinations, electrolyte and clotting profiles, and assays of serum cholesterol, triglycerides, aspartate aminotransferase, alanine aminotransferase, creatine phosphokinase, and lactic acid dehydrogenase.
interventions The nurse usually obtains the patient's history, records the external observations, checks the vital signs, auscultates the chest, and assembles the pertinent background information and reports on diagnostic tests. In specialty areas such as a coronary care unit, the nurse may interpret electrocardiographic tracings, and the health care provider may adjust medications.
outcome criteria An accurate and complete assessment of cardiovascular function is an essential adjunct to a complete physical examination and is vital to the diagnosis and proper continuing care of a patient with cardiovascular disease.
References in periodicals archive ?
If you have RA, work with a rheumatologist to find the best management strategy for you, and undergo a cardiovascular assessment.
02 for superiority) in the Canagliflozin Cardiovascular Assessment Study (CANVAS) and its sister trial, CANVAS-R, investigators reported at the annual scientific sessions of the American Diabetes Association.
Although amputations--sometimes multiple--involving the leg either below or above the knee, occurred, the most common amputations were of the toe and the middle of the foot, according to the results of the CANVAS (Canagliflozin Cardiovascular Assessment Study) and CANVAS-R (A Study of the Effects of Canagliflozin on Renal Endpoints in Adult Participants With Type 2 Diabetes Mellitus) trials involving more than 10,000 patients given either placebo or 100 mg or 300 mg canagliflozin.
For INVOKANA, Janssen will unveil the design and rationale for the CANagliflozin cardioVascular Assessment StudyRenal (CANVAS-R) study, which aims to provide new insights into the effects of INVOKANA compared to placebo on the benefits of renal disease risk reduction.
20) The manual recommends1 adjusting the paraclinical request for cardiovascular assessment to one of the guides currently used internationally.
I also serve as the Association of Graduate Nursing Students (AGNS) secretary and continue to give the cardiovascular assessment lectures for the undergraduate nursing course, Health Assessment.
A careful cardiovascular assessment and follow-up may be required in individuals with diabetic retinopathy.
M2 PHARMA-November 25, 2013-Millennium HealthCare Inc installs VasoScan Cardiovascular Assessment Test in certain physician group practices(C)2013 M2 COMMUNICATIONS
M2 EQUITYBITES-November 25, 2013-Millennium HealthCare Inc installs VasoScan Cardiovascular Assessment Test in certain physician group practices(C)2013 M2 COMMUNICATIONS http://www.
We think it's very important to have a centralized cardiovascular assessment before pregnancy," Dr.
Ebrahim added that all diabetics should have a detailed examination including eye check up and cardiovascular assessment.
The following conditions outline the ocular manifestations of cardiovascular disease, and highlight the important role an optometrist may have in the prevention of sight loss due to such eye disease, but more importantly, the vital role in referral for essential cardiovascular assessment and treatment.

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