In: Nursing
Discuss the assessment of the heart in a young child and include one usual abnormal findings.
how can you assess the heart of young infant
#. Physical Assessment of the heart
-Inspection
-Palpation
-Aortic ,pulmonic, Erbs point, tricuspid, PMI, epigastric
-Auscultation
-S1, S2, S3, S4, Snaps opening snaps and clicks murmurs, friction rub
#. Cardiovascular assessment inspection
-no pulsations are visible except at point of maximum impulse (PMI).
-no lifts (heaves) or retractions are evident in four valve areas of chest wall
#. Cardiovascular assessment palpation
-no vibrations or thrills are evident
-no lifts or heaves are evident
-no pulsations are visible except at PMI and epigastric area
#. Cardiovascular assessment vascular palpation
-note skin temperature, texture and turgor
-capillary refill is no more than 3 seconds
-pulses should be in rhythm ad strength
4+ = bounding 3+ = Increased
2+ = Normal 1+ = Week
0 + absent
#. Cardiovascular assessment auscultation
-first heart sound (s1) heard best with stethoscope diaphragm over mitral area
-second heart sounds (s2) hear best with stethoscope diaphragm over aortic sea
-third hear sounds (s3) hear best with stethoscope bell over mitral area
-addition heart sound (s4) heard best with stethoscope with stethoscope bell
#. Abnormal finding - capillary refill time more than 3 secs