1. Foundational Nursing Assessment: Cardio-Pulmonary and Circulatory Function NSG 2106 Health Assessment I 23 Sept 2014

2. Agenda 1600-1800 Updates on clinicals Content Presentation (lecture) Questions and Question Board Quiz and Feedback Close

3. Goals for today To describe the relationship between cardiac, pulmonary, and circulatory systems To identify 1. common conditions requiring cardio-pulmonary assessment 2. The subjective data to gather through focused questioning 3. the cardio-repiratory and circulatory assessment areas of To detail the components of assessment for cardio-respiratory and circulatory assessment To discuss nursing focused concerns affecting cardio-respiratory and circulatory function To define the use of objective tools to help record and report abnormal findings

4. What relationship between cardio-pulmonary and circulatory systems share direct anatomical routes with eachother Conditions that affect one, typically affect the other Is a direct reflection of function of another (circulatory to cardiac)

5. What are the common conditions seen on the wards and health centers? Tachycardia Rheumatic Heart Disease CHF A-Fib HTN CVD

6. Subjective data:  Take 5 minutes practice creating focused questions and rationales by collaborating with your table on one of the following s/sx  Fatigue  Weight changes  Appetite changes  Rx, herbs, and ilicit drug use  Sleep patterns  Cough  Syncope, weakness  Shortness of breath

7. What are the assessment areas for cardio-respiratory and circulation chest/ thorax back upper and and lower limbs where else??

8. What are the assessment components we will use for cardiac function inspection auscultation palpation? percussion ??

9. What are assessment indicators decide which components you will assess  what are indicators?  can you name a s/sx that would lead you to the next assessment?

10. Cardiac: Inspection  good for assessing: trauma, chest pain, and?  looking for: symetry, size, color, shape, and??  What does this tell us?

11. Cardiac: Auscultation  good for assessing: trauma, chest pain, RHD, and?  what are we listening for?  What is the technique?

12. VIDEO

14. Cardiac: Palpation  Good for assessing: ???  what are we feeling for?  What is the technique?

15. Cardiac: Percussion  good for assessing what types of patients specifically?  what are we discerning ?  What is the technique?

16. What are the right ways to document findings Rate Presence of S1 and S2 Regular or irregular pain? adventitious sounds Grading a murmur?

17. What are the assessment components we will use for pulmonary function inspection auscultation palpation? percussion ??

18. What are assessment indicators decide which components you will assess  can you name a s/sx that would lead you to the next assessment?

19. Pulmonary: Inspection  good for assessing patients with c/o?  looking for: equal rise and fall, type, and????  What does this tell us?

20. Pulmonary: Auscultation  good for assessing??  what are we listening for?  What is the technique?

21. Pulmonary: Auscultation

22. Video

23. Pulmonary: Palpation  Good for assessing: ???  what are we feeling for?  What is the technique?

24. Pulmonary: Percussion  Good for assessing: ???  what are we feeling for?  What is the technique?

25. VIDEO

26. What are the right ways to document findings Rate Type of breathing Effort adventitious sounds Location! Phase of cycle!

27. What are the assessment components we will use for circulatory function inspection palpation Auscultation? percussion ??

28. What are assessment indicators decide which components you will assess  can you name a s/sx that would lead you to the next assessment?

29. circulatory: Inspection  what is our focus location?  good for assessing patients with??  looking for: pulses, color, edema, temp  What does this tell us?

30. Pulmonary: Palpation  Good for assessing: ???  what are we feeling for?  What is the technique?

31. Pulmonary: Auscultation  good for assessing??  what are we listening for?  What is the technique?

32. What are the right ways to document findings

33. What are my biggest nursing concerns for cardio- pulmonary and circulatory compromise o Ineffective perfusion o Ineffective airway o Ineffective oxygenation o Impaired mobility o Inability to participate in ADLs o Increased risk of infection o Increased risk of injury

34. Goals for today To describe the relationship between cardiac, respiratory, and circulatory systems To identify 1. common conditions requiring cardio-respiratory assessment 2. The subjective data to gather through focused questioning 3. the cardio-repiratory and circulatory assessment areas of To detail the components of assessment for cardio-respiratory and circulatory assessment To discuss nursing focused concerns affecting cardio-respiratory and circulatory function To define the use of objective tools to help record and report abnormal findings

35. Next: You have 45 minutes Quiz and Feedback 1. Quiz question sheet 2. Answer sheet 3. Academic Integrity Feedback: 1. Used to help improve 2. Be honest 3. Be specific Seperate the answer sheet from the feedback and turn BOTH in at the back Then you are free to leave Quiz and total marks for class will be posted within 1 week

36. Thanks and good luck!