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CARDIOVASCULAR
AND
PERIPHERAL
ASSESSMENT
STRUCTURE OF HEART
CORONARY CIRCULATION
CARDIOVASCULAR AND
PERIPHERAL ASSESSMENT
The assessment includes examination of the heart by
inspecting, palpating, and auscultating the landmarks of
the heart, and peripheral vascular system examination by
assessing the extremities for color, temperature, edema,
capillary refills and peripheral pulses.
PURPOSES
 To determine the sign and symptoms of heart diseases and
peripheral vascular diseases.
ARTICLES FOR ASSESSMENT
A tray containing:
 Sphygmomanometer
 Stethoscope
 Light source (Torch)
 Measuring tape
 Wrist watch
 Bowl containing spirit swabs
 Kidney tray
 Recording reporting chart and pen
PRE PROCEDURAL STEPS
 Explain the procedure to the patient.
 Collect the articles at the bed side of patient.
 Instruct the patient to lie down or sitting position.
 The light should be adequate.
 The nurse should perform the examination by standing at the right
side of the patient.
INSPECTION
 Assess the part of the body over heart, which is known as
precordium and the lower parts of thorax.
 Normally there will be no visible pulsation excluding for the
apical pulse.
 Apical pulse will be present at left midclavicular line at 4th or 5th
intercostal space.
 Assess the abdominal aorta for pulsation at the epigastric area and
at the tip of sternum.
CONT…
JUGULAR VEIN DISTENSION
CLUBBING OF FINGERS
INSPECTION OF PERIPHERALAREAS
FOR DVT AND VARICOSE VEINS
PALPATION
 It should be performed by using palm of the hand with four
fingers.
 Make sure that the hands are warm before palpation.
 While during palpation look for any visible pulsation.
CONT…
PALPATION OF PERIPHERAL PULSES
CONT…
CONT…
cardiovascular and peripheral assessment.pptx
cardiovascular and peripheral assessment.pptx
cardiovascular and peripheral assessment.pptx
cardiovascular and peripheral assessment.pptx
cardiovascular and peripheral assessment.pptx
cardiovascular and peripheral assessment.pptx
cardiovascular and peripheral assessment.pptx
cardiovascular and peripheral assessment.pptx

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