The Cardiovascular System
Each carotid artery was palpated one at the time and rated 2+ equal bilaterally with smooth contour. There was no presence of JVD. Auscultation at angle of jaw, midcervical area, and base of the neck, no presence of bruits. Precordium, no heaves visible. Heart auscultated with a diaphragm of the stethoscope. Regular rhythmic S2 and S1 sound heard at aortic, pulmonic, erb’s point, and tricuspid, no presence of murmur or splitting. Apical pulse listened for one full minute at 5th intercostal space in the left midclavicular line, rated 84, loud with regular rhythmic. History of hypertension. Client denied history of coronary arteries disease. Labs Na/138, K/3.9, Cl/10.2, Calcium/8.8, CO2/27.4, Anion gap/12.5; CBC with PLT no differential, RBC/3.54, HGB/10.5, HCT 30.8, PLT/275. Currently taking metoprolol (50 mg tabs PO BID) to manage heart rate. Diltiazem 120 mg PO daily for hypertension. Lovenox 40 mg subcutaneous every 24 hours to prevent deep vein thrombosis.
The Abdomen
The surface of the skin is dry, and no striae is present. Abdomen is rounded, and no pulsations noticed. Umbilical is midline inverted. Vascular sounds heard with bell of the stethoscope in the aortic, renal, iliac, and femoral artery
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However, client constantly complains of tingling and numbness of hands and feet as previously stated. Inability to distinguish “sharp” from “dull” while performing superficial pain test. He was able to distinguish light touch with eye closed. Identify light touch on random skin areas around the face. Unable to perform vibration test due to absence of tools, with patient sitting in wheelchair, he performed the finger to nose accurately. Stereognosis with a coin identified with eyes closed; however, graphesthesia with number 3 unable to identify. There was not tools available to perform tendon reflex. Client has a history of dementia. There is no medication or lab values in client’s
One of the most important systems in the body, keeping it alive, is the cardiovascular system. As a part of the circulatory system, the cardiovascular system pumps blood throughout the body through a network of many arteries and veins, providing it with nutrients and oxygen. Also, the cardiovascular fights infections and disease in the body and creates blood cells. Never the less, blood acts as a filtration system for the body and removes waste, cell debris, or bacteria from the bloodstream.
The cardiovascular system, which consists of the heart and blood vessels, is the circulatory systems in our body. The major function of the system is transportation; the heart is the system pump and the blood vessels are the delivery routes. The heart transport respiratory gases, nutrients, wastes, and other substances vital to the body’s homeostasis to and from the cells by using the blood as a medium.
Explain in detail how the following systems adapt, in the short term, to exercise. Please also make brief comment about long term adaptation in each case
Composed of the heart, blood vessels, and blood, the cardiovascular system is the body system that carries out the tasks of pumping and transporting blood, oxygen, nutrients, and waste products, and other substances throughout the body.
The heart, blood and blood vessels make up the basis of the cardiovascular system also known as the circulatory system. The average human body contains approximately 5 litres of blood which is carried around the body via a network of blood vessels split into three types; arteries, veins and capillaries. The arteries are the largest of the three vessels and carry blood away from the heart. Veins carry blood to the heart and are smaller than arteries, then finally the smallest vessels known as capillaries distribute the oxygen rich blood to organs whilst simultaneously picking up the waste carbon dioxide and water from the organs to transport back to the heart where it can be pumped into the lungs to be exhaled.
Health care professionals specializing in the cardiovascular system diagnose and treat patients experiencing difficulty with the heart and lungs. Opportunities to work as a member of a cardiovascular team include specialists like a cardiologist, cardiovascular surgeon, clinical cardiac perfusionist, and cardiovascular technician. Each health care professional requires varied experience, but each position is necessary to help patients prevent and recover from potentially life threatening cardiovascular events.
The patient has been diagnosed with atrial defibrillation and congestive heart failure. There is no visible jugular vein distention or pulsations on either side of the neck. The patient was not comfortable with removing her sweater, therefore, pulsations, lifts, or heaves were not seen if present. Palpated and auscultated the carotid arteries for vascular sounds, no bruits heard. Heart sounds were auscultated with the bell and diaphragm of the stethoscope. S1 82/min, even and regular. S2 85/min, even and regular. S3 82/min, even and regular. S4 83/even and regular. No murmurs were heard. The apical pulse rate was 92 bmp, regular and was accessed with patient in sitting position and between the 4th and 5th intercostal space. Patient stated
Cardiac: rRegular rate and rhythm, no murmurs, rubs, or gallops; no JVD, thrills, or heaves; PMI non-displaced at 5th intercostal space
The patient’s physical examination upon admittance (11/30/14) revealed the patient awake, alert and orientated x3; she was in some apparent distress but was not found to be in any pain. Auscultation of the lungs conceded adequate air entry bilaterally with bilateral rhonchi. The lower extremities showed pedal edema but with no signs of a deep vein thrombosis in the legs. Examination of the head, eyes, ears, nose and throat (HEENT) showed pink and moist oral mucosa. The pupils were equal and reactive to light.
Offender comes in today in followup off left thumb pain. She was in a car accident in 11/2015 and jammed her thumb against the airbag. Ever since she has had pain around her MCP joint. She was evaluated by an orthopedist in the past and surgical intervention was recommended. She received a Kenalog injection last year and got good relief. Since the pain was acting up, she was again injected left thumb on 09/20. She reports at least 50% symptom relief. She denies any numbness, tingling in the joint. She is currently on Mobic twice daily, but in addition has also been taking ibuprofen throughout the day. She was prescribed ranitidine, which has helped with heartburn symptoms and would like to continue it. For the past two weeks, she has been getting headaches. She does not have a previous history of migraine headaches. She has some discomfort in her right ear, sore throat which lasted 24 hours. She denies any fever, cough, nasal or head congestion. She also
Heart & Peripheral Vascular (2 points): Carotid arteries 2+ bilat, external jugular visible in supine position, not visible when elevated. No visible chest wall pulsations, no heave, lift, apical pulse in 5th intercostals space at midclavicular line, pulse 61, regular rate, rhythm. Aortic, pulmonic valves, S2>S1. Erb’s point, S2=S1. Tricuspid, mitral valves, S1>S2. No gallops, murmurs, extra heart sounds. All pulses present 2+ bilat, no lymphadenopathy. Legs absent of varicosities, tenderness, edema, atrophy, warm bil. Epitrochlear lymph nodes not palpable, no Homan’s signs.
Heart disease is the number 1 killer in the United States of America. It’s important to have a heart protection strategy, especially as you get older. It should include exercise and a healthy diet, plus supplements for heart health as needed. Know your cholesterol, blood pressure and ideal weight. Lower risk factors and prevent early disability, illness or even death from heart disease. And although you can't help heredity, you can certainly be aware of any risk factors that may have been passed down through your family tree. After following the steps in this assignments all of the supplements I would recommend along with the information I have given you here are proven to help in preventing heart health. Most can be safely taken in combination.
The Patient was awake, alert, oriented times 4 (to person, place, time, and situation), no acute distress, and denied any allergies. During this assessment the patient was position in sitting position, and the patient was inspected from head to toe, and the skin was normal, warm, dry, intact, and within ethnicity. The hair groomed within the age appropriate and not greasy. The head was normocephalic and atraumatic. During the skull palpation, patient denies any pain, any no lesions noted. The patient had the eye’s glasses on, and the vision was 20/20. The pupils were equal, round and reactive to light. The patient extraocular movements were intact, and normal conjunctiva noted. The patient ears, nose, mouth, and throat were all in normal states.
Neurologic: Patient is alert and oriented x 4. She is calm and cooperative. Speech is clear and spontaneous. No facial droop, tongue midline. Numbness in LUE has resolved since admission.
Cardiac: Regular rhythm without murmur, normal S1and S2. One plus edema to bilateral lower extremities. Capillary refills are presents and carotid bruits are absent.