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5 Cards in this Set

  • Front
  • Back
How do you document the Cardiac Exam? normal
rhythm regular,
s1 and s2 are normal
not diminished or accentuated
no s3, no s4, no extra sounds, no murmurs
How do you document the jugular venous pressure? normal
Internal jugular pulsations
absent when elevated to 45 degrees
Less than 4cm above sternal angle
How do you document pulse amplitudes? normal
Extremities: all pulses present;
2+ and equal bilaterally
no edema
How do you document capillary refill test? normal
Capillary refill test normal, 1-2 seconds
How do you document edema? normal?
+1 through +4 for edema
and "no edema" for no edema