Tina jones cardiovascular shadow health Objective Data 100%
Tina jones cardiovascular shadow health Objective Data 100%
Objective Data Collection: 23 of 23 (100%)

 Correct
 Partially correct

 Incorrect
 Missed

 Inspected chest
1 of 1 point

Symmetry (1/2 point)

 Symmetric
 Asymmetric

Tina jones cardiovascular shadow health Objective Data 100%

Appearance (1/2 point)

 No visible abnormal findings
 Prominent pulsation
 Abnormal apical impulse
 Heaves or lifts

 Inspected for jugular venous distention
1 of 1 point

Height Of Venous Pressure (1/1 point)

 4 cm or less above the sternal angle
 More than 4 cm above the sternal angle
Tina jones cardiovascular shadow health Objective Data 100%

 Inspected hands and fingernails
1 of 1 point

Right: Nail Changes (1/3 point)

 No visible abnormal findings
 Pallor
 Cyanosis
 Splinter hemorrhages
 Clubbing

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Left: Nail Changes (1/3 point)

 No visible abnormal findings
 Pallor
 Cyanosis
 Splinter hemorrhages
 Clubbing

Capillary Refill Time (1/3 point)

 3 seconds or less
 Greater than 3 seconds

 Inspected lower extremities and toenails
1 of 1 point

Right: Edema (1/9 point)

 No edema
 Pitting
 Non-pitting

Right: Severity Of Edema (1/9 point)

 No edema
 1+ Slight pitting
 2+ Deeper pit, disappears in 10 to 15 seconds
 3+ Noticeably deep pit that lasts more than a minute
 4+ Very deep pit that lasts 2 to 5 minutes

Right: Appearance (1/9 point)

 No visible abnormal findings
 Visible distortion or swelling
 Discoloration
 Skin thickening
 Ulceration
 Varicose veins

Right: Nail Changes (1/9 point)

 No visible abnormal findings
 Pallor
 Cyanosis
 Splinter hemorrhages
 Clubbing

Left: Edema (1/9 point)

 No edema
 Pitting
 Non-pitting

Left: Severity Of Edema (1/9 point)

 No edema
 1+ Slight pitting
 2+ Deeper pit, disappears in 10 to 15 seconds
 3+ Noticeably deep pit that lasts more than a minute
 4+ Very deep pit that lasts 2 to 5 minutes
Tina jones cardiovascular shadow health Objective Data 100%

Left: Appearance (1/9 point)

 No visible abnormal findings
 Visible distortion or swelling
 Discoloration
 Skin thickening
 Ulceration
 Varicose veins

Left: Nail Changes (1/9 point)

 No visible abnormal findings
 Pallor
 Cyanosis
 Splinter hemorrhages
 Clubbing

Capillary Refill Time (1/9 point)

 3 seconds or less
 Greater than 3 seconds

 Palpated temporal arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated carotid arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated PMI
1 of 1 point

Location (1/3 point)

 Present at midclavicular line and 5th intercostal space
 Displaced laterally

Amplitude (1/3 point)

 Brisk and tapping
 Increased amplitude (hyperkinetic)

Diameter (1/3 point)

 Less than 3 cm
 Greater than 3 cm

 Palpated radial arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated brachial arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated femoral arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse
Tina jones cardiovascular shadow health Objective Data 100%

 Palpated popliteal arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated tibial arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Palpated dorsalis pedis arteries
1 of 1 point

Right: Vibration (1/4 point)

 No thrill
 Thrill

Right: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

Left: Vibration (1/4 point)

 No thrill
 Thrill

Left: Amplitude (1/4 point)

 0 Absent
 1+ Diminished or barely palpable
 2+ Expected
 3+ Increased
 4+ Bounding pulse

 Auscultated temporal arteries
1 of 1 point

Right (1/2 point)

 No bruit
 Bruit

Left (1/2 point)

 No bruit
 Bruit

 Auscultated carotid arteries
1 of 1 point

Right (1/2 point)

 No bruit
 Bruit

Left (1/2 point)

 No bruit
 Bruit

 Auscultated breath sounds
1 of 1 point

Breath Sounds (1/3 point)

 Present in all areas
 Diminished in some areas
 Absent in some areas

Adventitious Sounds (1/3 point)

 No adventitious sounds
 Wheezing
 Fine crackles
 Stridor
 Rhonchi
 Rales

Location (1/3 point)

 All areas clear
 Adventitious sounds in anterior right upper lobe
 Adventitious sounds in anterior right middle lobe
 Adventitious sounds in anterior right lower lobe
 Adventitious sounds in anterior left upper lobe
 Adventitious sounds in anterior left lower lobe
 Adventitious sounds in posterior right upper lobe
 Adventitious sounds in posterior right lower lobe
 Adventitious sounds in posterior left upper lobe
 Adventitious sounds in posterior left lower lobe
Tina jones cardiovascular shadow health Objective Data 100%

 Auscultated heart sounds
1 of 1 point

Heart Sounds (1/2 point)

 S1 and S2 audible
 S1, S2, and S3 audible
 S1, S2, and S4 audible
 S1, S2, S3, and S4 audible

Extra Heart Sounds (1/2 point)

 No extra sounds
 Gallops
 Murmur
 Friction rub
 Valve clicks

 Auscultated abdominal aorta
1 of 1 point

Sounds (1/1 point)

 No bruit
 Bruit

 Auscultated renal arteries
1 of 1 point

Right (1/2 point)

 No bruit
 Bruit

Left (1/2 point)

 No bruit
 Bruit

 Auscultated iliac arteries
1 of 1 point

Right (1/2 point)

 No bruit
 Bruit

Left (1/2 point)

 No bruit
 Bruit

 Auscultated femoral arteries
1 of 1 point

Right (1/2 point)

 No bruit
 Bruit

Left (1/2 point)

 No bruit
 Bruit

 Performed ankle-brachial index test
1 of 1 point

Abi (1/1 point)

 > 1.40 (noncompressable)
 1.00 – 1.40 (normal)
 0.90 – 0.99 (borderline ischemia)
 < 0.90 (abnormal)  Performed EKG 1 of 1 point Sinus Rhythm (1/2 point)  Regular  Irregular St Changes (1/2 point)  No ST changes  ST changes present Tina jones cardiovascular shadow health Objective Data 100%

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