Baixe o app para aproveitar ainda mais
Prévia do material em texto
Exames Físicos 1) Exame Físico Cardiovascular: Divide-se 02 partes: o exame físico geral e o específico. Técnicas utilizadas: inspeção, palpação e ausculta. Materiais: estetoscópio A. Exame Físico Geral: 1) Lavar as mãos; 2) Sinais vitais: (temperatura, pulso, freqüência, respiração, PA). Artérias: temporal, carótida, axilar, braquial, radial, femural, poplítea, pediosa e tibial. Temperatura: normal: 36–37ºC; Pulso: 60-70bpm; Freqüência: normal (eupnéia) 16-20ipm incursões por minuto (taquipnéia: acima 20 / bradipnéia: abaixo 16); Respiração: H: 15-20rpm / M: 18-20rpm; PA: máxima: 140/90 - mínima: 90/60 mmHg / adulto: 130/80 mmHg. 3) Antropometria; 4) Avaliação das unhas: inspecionar baqueteamento, cianose; 5) Avaliação da pele, mucosas e anexos: inspecionar coloração da pele (ictérica ou cianose); edemas nos MMII; pele sudoreica fria; desidratação. 6) Avaliação dos olhos; 7) Nível de consciência. Passos para inspeção: 1) Posicionar o paciente em decúbito 45º com a região torácica descoberta; 2) Apoiar a cabeça sobre um travesseiro e Lateralizar para o lado oposto; 3) Inspecionar o pescoço (veia jugular) a procura de “estase jugular”, pois sua a distensão indica alterações de pressão e volume dentro átrio direito; 4) Inspecionar coloração da pele (ictérica ou cianose); edemas nos MMII; pele sudoreica fria; desidratação. 5) Inspecionar baqueteamento de unhas, cianose; 6) Inspecionar a região torácica (peito de pombo, escavado, tórax em túnel); Passos para palpação: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Elaborado por: Edwallace Amorim Aracaju/Sergipe/Brasil _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Passos para ausculta: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________
Compartilhar