Apical pulse

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Amanda Draayer on Instagram: "Head-To-Toe Assessment Basics 🩺🫀

👉What? It can be a quick 5-minute or in-depth assessment used to evaluate the status of a patient’s health. 

👋 INTRO: Hand hygiene, identify patient, vitals, alert & orientation

🗣 HEAD
Mouth, Gums, Tongue: moisture + color
Pupils: PERRLA (pupils equal, round, and reactive to light & accommodation)
Neck Veins: flat = normal, distended = ⬆️ fluid

🫀 CARDIOVASCULAR
Auscultate apical pulse for 1 full minute. Note: rate, rhythm, regularity. 
⚠️ Normal HR: 60-100 BPM

🫁 PULMONARY
Auscultate anterior/posterior lungs in an S-shaped pattern. Note: depth, rate, sounds
⚠️ Normal RR Rate: 12-20 
⚠️ Normal O2 Sat: 95-100%

🚽 GI/GU
Inspect, Auscultate, Palpate. Note: bowel sounds, last void or BM

💪 Extremities
Assess Skin (clean Apical Pulse, Neck Veins, Hand Hygiene, Vital Signs, Nursing Education, Lungs, Clean Skin, Assessment, Moisturizer

Amanda Draayer on Instagram: "Head-To-Toe Assessment Basics 🩺🫀 👉What? It can be a quick 5-minute or in-depth assessment used to evaluate the status of a patient’s health. 👋 INTRO: Hand hygiene, identify patient, vitals, alert & orientation 🗣 HEAD Mouth, Gums, Tongue: moisture + color Pupils: PERRLA (pupils equal, round, and reactive to light & accommodation) Neck Veins: flat = normal, distended = ⬆️ fluid 🫀 CARDIOVASCULAR Auscultate apical pulse for 1 full minute. Note: rate…

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