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HEART  ASSESSMENT Anatomy Overview Heat and Great Vessels -The heart is a hallow, muscular, four-chambered organ located in the middle of the thoracic cavity between the lungs in the space called the mediasturium. It is about the size  of a clenched fist and weighs a proximately 225g (9 oz)  in women and 310 g (10.  9 oz)  in men. The language  reins and arteries  leading  in directly to and away from the heart are referred  to as the great vessels. The heart  consists  of four chambers  or cavities: two upper chambers, the night and left atria and two lower chambers, the right and left ventricles. The entrance and exit of each ventricle are protected by one way valve that direct the flow of blood  through the heart. The  atrioventricular and the triacuspid and bicuspid valve. Production  of Heart Sound: ,[object Object]
Normal heart sounds characterized as “lubbdubb” (s, and S2),[object Object]
The second heart sound if (S2)  result from the semilunar valvesEquipment Needed ,[object Object]
Marking Pen
Stethoscope  with bell and diaphragm
Alcohol swab to clean ear an d end piecesSubjective Data:  Focus Question ,[object Object],Objective Data: Assessment Tecniques -Heart Chamber, valves, and direction of circulatory flow. Inspection:
Percussion ,[object Object],Auscultation ,[object Object],Geriatric Variations ,[object Object]
Decreased elasticity of heart  & arteries, reduced pumping ability  of heart
Decreased cardiac output and cardiac reserve
Apical impulse be difficult palpate  owing to increase in anteroposterior diameter of chest.Possible Collaborative Problems Decreased cardiac output		Congenital Heart Disease Congestinal heart failure		endocarditis Myocardiallischemia		Angina Cardiogenic shock			dysrhythmia
Peripheral Vascular Assessment Anatomy Overview Arteries ,[object Object],Veins ,[object Object],Equipment Needed: ,[object Object]
Sphygnomamometer
Doppler
Tape measure
Cotton
Paper clip

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