Monday, November 25, 2019

JVP documentation

Hi everyone!

Someone questioned on how to document JVP. Just saying JVP is 8 cm is not enough - Say what is your reference for better documentation :)

Example: Jugular venous pressure is 3 cm above the sternal angle with the head of bed elevated to 45 degrees or 8 cm above the right atrium.

Note: The degree of the patient's inclination from horizontal does not have to be stated.

Low venous pressures are best seen in or near a supine position (0 degree angle), while high JVPs are seen best with the patient sitting upright (90 degrees).

Why? Because a high JVP may be missed in the supine position as the pulsation may be hidden high up (superiorly) in the neck.

Here is a good review on JVP: Applefeld MM. The Jugular Venous Pressure and Pulse Contour. In: Walker HK, Hall WD, Hurst JW, editors. Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990. Chapter 19. Available from: https://www.ncbi.nlm.nih.gov/books/NBK300/

-IkaN

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