Page 287 - CHHA Binder 2.3.20
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4/11/2019
Extremities Cont
Assess pedal pulses. Palpate and inspect Check capillary refill
To check capillary refill, depress the nail
capillary refill and report if more than 3 edge to cause blanching and then release.
seconds
Color should return to the nail instantly or in
less than 3 seconds.
Capillary Refill: If it takes longer, this suggests decreased peripheral perfusion and may
indicate cardiovascular or respiratory dysfunction. Unusual findings should be followed up
with a focused cardiovascular assessment
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Extremities Cont
Clubbing of nails, in which the nails present as straightened out to 180 degrees, with the nail
base feeling spongy, occurs with heart disease, emphysema, and chronic bronchitis.
Clubbing
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