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Focus on Nursing Assessment: Cardiovascular System

Focus on Nursing Assessment: Cardiovascular System. (Relates to Chapter 32, “Nursing Assessment: Cardiovascular System,” in the textbook). Structures and Functions of the Cardiovascular System. Heart Orientation in the thorax Structures Blood flow through the heart

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Focus on Nursing Assessment: Cardiovascular System

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  1. Focus on Nursing Assessment: Cardiovascular System (Relates to Chapter 32, “Nursing Assessment: Cardiovascular System,” in the textbook)

  2. Structures and Functionsof the Cardiovascular System • Heart • Orientation in the thorax • Structures • Blood flow through the heart • Blood supply to the myocardium

  3. Structures and Functionsof the Cardiovascular System (Cont’d) Fig. 32-1

  4. Structures and Functionsof the Cardiovascular System (Cont’d) Fig. 32-2

  5. Structures and Functionsof the Cardiovascular System (Cont’d) Fig. 32-3

  6. Structures and Functions of the Cardiovascular System(Cont’d) Fig. 32-4

  7. Structures and Functionsof the Cardiovascular System (Cont’d) • Heart • Conduction system • Mechanical system • Cardiac reserve

  8. Structures and Functionsof the Cardiovascular System (Cont’d) Fig. 32-5

  9. Structures and Functionsof the Cardiovascular System (Cont’d) Fig. 32-6

  10. Structures and Functions of the Cardiovascular System (Cont’d) • Vascular system • Blood vessels • Arteries, arterioles • Veins, venules • Capillaries

  11. Structures and Functionsof the Cardiovascular System (Cont’d) Fig. 32-7

  12. Structures and Functions of the Cardiovascular System (Cont’d) • Regulation of the cardiovascular system • Autonomic nervous system • Baroreceptors • Chemoreceptors

  13. Structures and Functions of the Cardiovascular System (Cont’d) • Blood pressure • Measurement of arterial blood pressure • Pulse pressure • Mean arterial pressure

  14. Gerontologic Consideration • Effect of aging on the cardiovascular system (see Table 32-1) • Chest wall • Heart • Blood vessels

  15. Assessment of the Cardiovascular System • Subjective information • Health information • Past health history • Past and current medications • Surgery or other treatments

  16. Assessment of the Cardiovascular System (Cont’d) • Functional Health Patterns (see Table 32-4) • Health perception–health management pattern • Nutritional-metabolic pattern • Elimination pattern • Activity-exercise pattern • Coping–stress tolerance pattern • Values-belief pattern

  17. Assessment of the Cardiovascular System (Cont’d) • Functional Health Patterns (cont’d) • Self-perception–self-concept pattern • Role-relationship pattern • Sexuality-reproductive pattern

  18. Assessment of the Cardiovasular System (Cont’d) • Objective Data • Physical examination • Vital signs • Peripheral vascular system • Inspection • Palpation • Auscultation

  19. Assessment of theCardiovascular System (Cont’d) Fig. 32-8

  20. Assessment of the Cardiovasular System (Cont’d) • Objective Data • Physical examination • Thorax • Inspection • Palpation • Percussion • Auscultation

  21. Assessment of the Cardiovascular System (Cont’d) Fig. 32-9

  22. Assessment of the Cardiovascular System (Cont’d) Fig. 32-10

  23. Assessment of the Cardiovascular System (Cont’d) Fig. 32-11

  24. Diagnostic Studies of the Cardiovascular System • Noninvasive studies • Blood studies • Chest x-ray • Electrocardiogram • Exercise and stress testing

  25. Diagnostic Studies of the Cardiovascular System (Cont’d) • Noninvasive studies • Echocardiogram • Nuclear cardiology • Magnetic resonance imaging • Computed tomography

  26. Diagnostic Studies of the Cardiovascular System (Cont’d) • Invasive studies • Cardiac catheterization and coronary angiography • Intracoronary ultrasound • Electrophysiology study • Blood flow and pressure measurements

  27. Diagnostic Studies of the Cardiovascular System (Cont’d) Fig. 32-12

  28. Diagnostic Studies of the Cardiovascular System (Cont’d) Fig. 32-13

  29. Diagnostic Studies of the Cardiovascular System (Cont’d) Fig. 32-14

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