This document provides details on assessing a patient's cardiovascular system. It outlines collecting a patient's history, including chief complaints, past medical history, family history, and psychosocial history. It describes examining the patient's general appearance, vital signs, pulse, blood pressure, chest, nails, skin, jugular veins, and palpating various areas. Assessment techniques are provided for peripheral pulses, capillary refill, and auscultating heart sounds like opening snaps. The document is intended for nursing students and covers examining and evaluating a patient's cardiovascular system.

1. CARDIC
ASSESSMENT
Mr Prakash D
AssociateProfessor
Medical Surgical Nursing (Critical care)

2. COLLEGE - NOOTAN COLLEGE OF NURSING,
VISNAGAR (SANKALCHAND PATEL
UNIVERSITY)
BATCH - BSC NURSING
YEAR - I YEAR
SUBJECT - MEDICAL SURGICAL NURSING
UNIT - V
TOPIC - CARDIO VASCULAR SYSTEM
HOURS - 30HRS

3. HISTORY
COLLECTION

4. 1) CHIEF COMPLAINTS:
• Chest pain (Location, types, severity)
• Shortness of breath (Dyspnea)
• Palpitation
• Sweating
• Anxiety

6. 2) HISTORY
• PRESENT MEDICAL AND SURGICAL
HISTORY
• PAST MEDICAL AND SURGICAL HISTORY
• FAMILY HISTORY
• PERSONAL HISTORY
• PSYCHOSOCIAL HISTORY
Major psychosocial issues included
family problems, depression, anxiety, substance
abuse, sexual abuse, and violence.

7. PHYSICAL
EXAMINATION

8. General appearance
 Level of consciousness
 Mental status ( orient to date, time,
place,person)
 BMI

9. Glasgow Coma Scale (GCS)

12. Assessment of 5-P

13. PULSE SITES

14. PULSE

15. Pulse deficit--The difference between the apical and peripheral pulse rates

16. Beats are missed at regular interval

17. Dicrotic pulse
The dicrotic pulse is an abnormal carotid
pulse found in conjunction with certain
conditions characterized by low cardiac output.
It is distinguished by two palpable pulsations,
the second of which is diastolic and immediately
follows the second heart sound.
One heart beat and two arterial
pulsation

18. BLOOD PRESSURE

25. 1.

26. 2.

27. PECTUS EXCAVATUM (CAVED)
PECTUS CARINATUM (PIGEON)

28. Eg. Bronchiectasis, lung abscess
3. NAIL

30. spoon shape nail
Spoon nails are a sign of iron deficiency anemia or a liver
condition known as hemochromatosis

31. 4. SKIN

33. 5.

35. 6. JUGULAR VEIN EXAMINATION

37. PALPATION

39. 1.

40. 2.

41. 3.

43. 4) Cafillary refill

44. 5)

56. • Mostly occur in diastolic heart failure or
active ischemia

59. Opening snaps are abnormal diastolic
sounds heard during opening of an AV Valves.
For example, mitral stenosis can cause an
opening snap, which is an unusually high
pitched sound very early in diastole.