Tachycardia Observation Report

For the cardiovascular assessment the client was maintained in a supine position with the head elevated 30 to 45 degrees for the auscultation and palpation of the carotid vessels and for an inspection, palpitation and auscultation of the precordium. The client was then asked to sit up and lean forward for the auscultation heart sounds; S1 and S2 auscultations are normal and distinct with noisiest sound at the apex of, the pattern and rhythm were normal, no split in sounds or accentuated sounds. No extra heart sounds were heard with the S3 and S4 auscultations, there were an absence of clicks, murmurs, and rubs; the client also mentioned recent episodes of tachycardia when walking from bed to the restroom. Symmetrical pulse volumes were noted on the upper extremities during the assessment of the peripheral vascular system. …show more content…
On the right lower extremity however, there were difficulties finding the posterior pulse and the dorsalis pedis pulses. The skin on the foot appeared to have a mottled presence with a 1x1 inch ulcer on the sole of the right foot. The abdominal assessment was conducted and client’s abdomen was observed for contour and symmetry and swell as for skin integrity. The client’s skin is unblemished; uniform in color, symmetric contour and no distention was noted. The abdomen was auscultated for bowel and also vascular sounds. The hands and the stethoscope diaphragms were warmed to prevent contraction of the abdominal muscles due to a cold stethoscope; audible sounds of 22 bowel sounds/minute were