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Cardiovascular System Research Paper

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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 …show more content…

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

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