Focus on Nursing Assessment: Cardiovascular System

Copyright © 2010, 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved.

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


•Heart Orientation in the thorax Structures Blood flow through the heart Blood supply to the

myocardium


Fig. 32-1


Fig. 32-2


Fig. 32-3


Fig. 32-4


•Heart Conduction system Mechanical system Cardiac reserve


Fig. 32-5


Fig. 32-6


•Vascular systemBlood vessels• Arteries, arterioles• Veins, venules• Capillaries


Fig. 32-7


•Regulation of the cardiovascular systemAutonomic nervous system• Baroreceptors• Chemoreceptors


•Blood pressure Measurement of arterial blood

pressure Pulse pressure Mean arterial pressure


• Effect of aging on the cardiovascular system (see Table 32-1)Chest wallHeart Blood vessels


•Subjective informationHealth information• Past health history• Past and current medications• Surgery or other treatments


• Functional Health Patterns (see Table 32-4)Health perception–health management pattern

Nutritional-metabolic patternElimination patternActivity-exercise patternCoping–stress tolerance patternValues-belief pattern


• Functional Health Patterns (cont’d)Self-perception–self-concept pattern

Role-relationship patternSexuality-reproductive pattern


•Objective DataPhysical examinationVital signsPeripheral vascular system• Inspection • Palpation• Auscultation


Fig. 32-8


•Objective DataPhysical examinationThorax• Inspection • Palpation• Percussion• Auscultation


Fig. 32-9


Fig. 32-10


Fig. 32-11


•Noninvasive studiesBlood studiesChest x-rayElectrocardiogramExercise and stress testing


•Noninvasive studiesEchocardiogramNuclear cardiologyMagnetic resonance imagingComputed tomography


• Invasive studiesCardiac catheterization and coronary angiography

Intracoronary ultrasoundElectrophysiology studyBlood flow and pressure measurements


Fig. 32-12


Fig. 32-13


Fig. 32-14

Documents

Focus on Nursing Assessment: Cardiovascular System