Peripheral vascular system assessment

The dorsalis pedis pulses, located on the top of the foot, are palpated. The posterior tibial pulses, found behind the medial malleolus, are also checked for strength, rhythm, and rate. The video discusses challenges in finding these pulses, especially in elderly patients, and alternative assessment findings if pulses are impalpable.

The assessment of the peripheral vascular system concludes, with all findings contributing to the overall evaluation of the patient's circulatory health.

The video begins with the healthcare professional introducing themselves and explaining the purpose of the assessment. The patient is asked about their medical history, specifically regarding varicose veins, leg pain during walking (claudication), and known blood vessel problems.

The nurse examines the patient's upper extremities for skin color, temperature, and any lesions. Capillary refill is checked by pressing on the fingernails, and the profile sign (angle of the nail bed) is assessed for signs of clubbing.

The radial and brachial pulses are palpated simultaneously on both arms to check for symmetry, strength (graded as 2+ for normal), regular rhythm, and normal rate.

The lower extremities are inspected for skin color, hair distribution (poor circulation can lead to hair loss), and any lesions. An old scrape on the leg is noted and its healing progress is evaluated. Temperature is checked using the back of the hands, and the legs are examined for varicose veins.

The toes and toenail beds are inspected for color. Capillary refill in the toes is assessed, noting that it should be less than 2-3 seconds or described as brisk.