The jugular venous exam is an important aspect of assessing a patient's volume status, especially in patients with heart failure, liver failure and kidney failure. Both elevation of the neck veins and the variations of the neck vein waveforms share valuable information about a patient's diagnosis.

2023年7月25日 · Evaluation of jugular venous pressure (JVP) involves observing the patient's jugular vein in the patient's neck in varying degrees of positions and maneuvers, estimating right atrial pressure, and determining abnormalities in the jugular venous column.

HOW TO EXAMINE THE JUGULAR VENOUS PULSE. Approach to examination; Which jugular vein to examine; Technique - General approach - Additional considerations for the EJV; Troubleshooting - Distinguishing venous and arterial pulsations - Venous pulse not identified; Estimating right atrial pressure - General principles - Causes of elevated jugular ...

2020年10月25日 · The physical examination of volume status is perhaps the most common assessment we perform in everyday clinical practice. It is also one of the most difficult and subjective tasks to perform. In particular, the JVP is one of these mystical signs that even very accomplished physicians can find hard to get right.

Jugular vein distention (JVD) is a clinical sign indicating elevated right atrial pressure and potential cardiac or respiratory dysfunction. This nursing diagnosis focuses on identifying, monitoring, and managing JVD while preventing complications. Jugular vein distention can occur due to various underlying conditions:

2017年6月23日 · JVD is a sign of increased central venous pressure (CVP). That’s a measurement of the pressure inside the vena cava. CVP indicates how much blood is flowing back into your heart and how well...

2010年8月10日 · To properly evaluate jugular venous distension, the patient must be placed at a 45-degree angle, or slightly less. Visualization of the jugular veins is best done at an oblique angle, so sit...

The assessment of the jugular venous pressure (JVP) is critical to the evaluation and treatment of any disorder that involves changes in extra-cellular volume and/or cardiac function. For patients presenting with hypotension, syncope, chest trauma, or any clinical situation in which dyspnea is an issue, the accurate assessment of the JVP is a ...

Assessment of the jugular veins involves inspection of the pulsation. This assessment is performed because it provides information about the central venous pressure (CVP), which is the pressure in the vena cava near the right atrium and is an estimation of the right atrial pressure.

2021年11月12日 · It entails visually inspecting the lateral portion of a patient’s neck, looking for the top of the blood column in the internal jugular vein, and estimating the distance from there down to the heart. It was first described in 1930 by Sir Thomas Lewis, a famed British cardiologist equipped with a delightfully bushy mustache.