Omar & Guglin (2017) state “the hepatojugular reflux sign is a simple, reliable, but neglected physical exam sign useful for diagnosing and managing heart failure. A positive hepatojugular reflux sign is defined by an increase in the jugular venous pressure (JVP) > 3cm, sustained for greater than 15 seconds, and signifies that the right ventricle cannot accommodate the augmented venous return.”
Assessing hepatojuglar reflux is completed by placing firm pressure over the liver, therefore, causes distension of the neck veins (Advanced Physical Diagnosis, 2015). The patient is positioned supine with the head of the bed elevated at 45 degrees, the heath practitioner then locates the jugular pulsations during quiet respirations and measures baseline
Assessing hepatojuglar reflux is completed by placing firm pressure over the liver, therefore, causes distension of the neck veins (Advanced Physical Diagnosis, 2015). The patient is positioned supine with the head of the bed elevated at 45 degrees, the heath practitioner then locates the jugular pulsations during quiet respirations and measures baseline