NSG 2317 Lecture Notes - Lecture 6: Internal Jugular Vein, Presyncope, Heart Murmur
7 Nov 2016
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Mediastinum: area between the lungs, contains the heart and great vessels. October 12, 2016: great vessels include the aorta, vena cava, pulmonary artery. Heart is located around the fifth intercostal space; it will beat against the chest wall during systole. Ask if there is jaw, chest, or left shoulder pain. Orthopnea is the need to assume a more upright position to breathe, so note how many pillows the person is using. Paroxymal nocturnal dyspnea is when someone is waking up because of the need to breathe or from coughing. Right side of heart is recieveing deoxygenated blood from vena cava. Elevated back pressure form the lungs can burst some blood vessels. Assess for cyanosis, can have central of peripher; a sign of low hemoglobin saturation. Assessing edema; peripheral edema is in the legs; probbaly backing up more on your right side if there is stenosis in the vena cava.
