Cariovascular Assessment

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1
How do we measure heart rate?
HR in bpm
pulse for 15s x4
if irregular count for 60s
2
How do we measure the cardiovascular and pulmonary system?
Heart Rate
Heart Rhythm
Heart Rate Recovery
Respiratory Rate
Respiratory Rhythm
Blood Pressure
Oxygen Saturation
3
usual range for HRHow hear How tou
60-100 bpm
4
tachycarydia
over 100 bpm
5
brachycardia
under 60 bpm
6
How is heart rhythym measured?
regular or irregular
unusual - atrial fibrillation, premature ventricular contractions
7
how is heart rate recovery measured?
HR difference after 1 min of exercise cessation
HR difference after 2 min of exercise cessation
8
How do we measure Respiratory Rate?
RR in breaths per minute
Breaths for 15s x 4
If irregular count for 60 s
9
usual RR
12 to 16 br/min
10
Tachypnea
fast respiratory rate
11
dyspnea
short of breath
12
apnea
no respiratory rate
13
how to measure respiratory rhythm?
regular or irregular
unusual - biots breathing, cheyne stokes breathing
14
systole
pressure from the bolus of blood ejected from LV into arterial system
15
Diastole
resting tone of the vessel after the bolus passes
16
Pulse Pressure
difference between systole and diastole
17
how to measure blood pressure?
support the left amr, pump cuff to 160 and slowly deflate listening for first (systole) and fourth Katokoff sounds (diastole)
18
usual BP
<120/80
19
unusual BP
>120/80 or less than 90/60
20
Oxygen saturation measures
% saturation of oxygen in the arterial blood
how many of the possible carrying sites for oxygen are filled with oxygen
normal - 98%
21
How to measure RPE
ask the patient to pick the appropriate words to describe the amount of work they feel they are doing
ask them to identify the number associated with those words
2 scales (6-20 and 1-10)
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