Term
| Categories of chart review/hx (8) |
|
Definition
dx, date of event
symptoms on admit
med hx
meds
cardiac risk factors
lab values
hospital course since admit
misc |
|
|
Term
| Symptoms at admit: items to discuss (5) |
|
Definition
SOB
nausea
chest pain
hoarseness (2º to mitral valve stenosis, AV septal defect)
activity at time of onset |
|
|
Term
| Chest pain symptoms: descriptors to discuss (3) |
|
Definition
gradual* v rapid onset
deep* v superficial pain
pinpoint c 1 finger: Y/N*
(*=cardiac symptom) |
|
|
Term
| Med hx: items to discuss (3) |
|
Definition
other diseases
surgeries
previous hospitalizations |
|
|
Term
| Cardiac risk factors: reasons for importance (2) |
|
Definition
IDs needed facets for intervention
Px indicators |
|
|
Term
| Lab values to procure/review (3) |
|
Definition
|
|
Term
| Hospital course since admit: items to review (2) |
|
Definition
|
|
Term
| Items to discuss in pt interview/education (4) |
|
Definition
understanding of disease
pt goals for rehab
support/family
home layout/situation |
|
|
Term
| Components of objective assessment (6) |
|
Definition
inspection (observation)
vitals
auscultation
palpation
musculoskeletal components
endurance |
|
|
Term
| Components of inspection/observation (3) |
|
Definition
integumentary
facial expression
posture |
|
|
Term
| Components of integumentary scan (4) |
|
Definition
skin tone (cyanosis, pallor, flushing)
digital clubbing
scar
edema (monitor weight) |
|
|
Term
| HR/BP values to obtain (times; 3) |
|
Definition
at rest
immediate post-ex
10 min post-ex (if possible) |
|
|
Term
|
Definition
HR
BP
RR (outpt)
O2 sat (outpt)
breathing (ask pt to talk) |
|
|
Term
| Components of palpation (4) |
|
Definition
thorax (symmetry of breathing)
chest wall (tender points)
percussion (optional - not acute care; assess heart size)
sensation (digits - self-pulse; distal scar) |
|
|
Term
| Sternal precautions - don'ts (9) |
|
Definition
ø lift >8lb
ø push/pull in transfers
ø shoulder mvmt >90º
ø crossbody add
ø twisting, deep bending
ø valsalva
ø driving
ø long periods of overhead activity
ø motion that produces pulling/stretching |
|
|
Term
| Sternal precautions - dos (2) |
|
Definition
brace chest while coughing/sneezing (1st 2 wks at home)
report clicking/popping to physician |
|
|
Term
| Sternal precautions: Stop, rest, call Dr if... (7) |
|
Definition
chest pain/pressure/tightness/burning
SOB
dizziness
N&V
abnormal heartbeats
diaphoresis
extreme fatigue |
|
|
Term
| Strenal precautions timeframe |
|
Definition
|
|
Term
| Sternal precaution reminders (3) |
|
Definition
limit # of times to climb stairs; can use fingertip on handrail
keep arms in front when pulling shirt on
splint chest while coughing/sneezing |
|
|
Term
| Components of musculoskeletal exam (4) |
|
Definition
ROM (fxnl)
strength
gait/balance
orthopedic dysfxn (co-morbidities) |
|
|
Term
|
Definition
UE
acute care
6-8 wk post-MI or post-sx
(document active mvmt against gravity only (3/5) |
|
|
Term
| Full ROM testing at _____ weeks |
|
Definition
8 weeks (outpt)
BW or less |
|
|
Term
| Possible orthopedic dysfxns (3) |
|
Definition
arthritis
amputation
artificial joints
(and more...) |
|
|
Term
| Components of endurance testing (5) |
|
Definition
distance/time
rating of angina
HR response
6 minute walk test
stress test (outpt) |
|
|
Term
|
Definition
"lub"
closure of mitral (M1) and tricuspid (T1) valves |
|
|
Term
|
Definition
| apex (L 4th intercostal space) |
|
|
Term
|
Definition
| L ventricular dysfxn (MI, CHF) |
|
|
Term
|
Definition
HTN,
Mitral valve stenosis |
|
|
Term
|
Definition
"dub"
closure of aortic (A2) and pulmonic (P2) valves |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
at apex or L 4th intercostal space (T1 space)
pt in supine |
|
|
Term
|
Definition
| at apex or L 4th intercostal space (T1 space) |
|
|
Term
|
Definition
CHF,
decr ventricular compliance, incr diastolic volume |
|
|
Term
|
Definition
|
|
Term
|
Definition
| ventricular stress (e.g. MI) |
|
|
Term
|
Definition
| children, young adults (M ≤20s, F ≤30s) |
|
|
Term
|
Definition
supine,
HOB 30º,
head turned slightly away |
|
|
Term
|
Definition
| <3 cm above manubriosternal jxn |
|
|
Term
| JVD msmt: abnormal values |
|
Definition
| 3-5 cm above manubriosternal jxn |
|
|
