Free Simple Cardiac Assessment Checklist

Streamline your cardiac evaluations with Template.net's Cardiac Assessment Checklist Template. This editable and customizable tool is tailored for healthcare professionals, offering a quick and efficient way to document cardiac health assessments. Modify it effortlessly in our Ai Editor Tool for precise and comprehensive cardiac care documentation. Make it yours immediately!

#	Task	Status
1	Record the patient's full name and age.
2	Document presenting symptoms.
3	Note the patient's medical history.
4	Gather family history of cardiac issues.
5	List current medications and allergies.

#	Task	Status
1	Measure and record heart rate.
2	Measure and record blood pressure (both arms).
3	Record respiratory rate and pattern.
4	Assess and record oxygen saturation levels.
5	Take and note temperature if relevant.

#	Task	Status
1	Perform chest auscultation to detect heart sounds.
2	Assess peripheral pulses for strength and rhythm.
3	Check for signs of edema in extremities.
4	Observe for cyanosis in lips, nail beds, or skin.
5	Inspect the jugular vein for distension.

#	Task	Status
1	Conduct an Electrocardiogram (ECG/EKG).
2	Schedule and perform an echocardiogram.
3	Collect and analyze lab tests (e.g., troponin, cholesterol).
4	Obtain imaging studies if necessary (e.g., chest X-ray, CT scan).
5	Review results with the patient or team.

#	Task	Status
1	Evaluate for smoking or tobacco use.
2	Check for a history of diabetes or hyperglycemia.
3	Measure and record Body Mass Index (BMI).
4	Assess for hypertension and its management.
5	Discuss lifestyle factors, including diet and exercise.

Free Simple Cardiac Assessment Checklist

I. PATIENT INFORMATION

II. VITAL SIGNS

III. PHYSICAL EXAMINATION

IV. DIAGNOSTIC TESTS

V. RISK FACTOR ASSESSMENT

VI. CLINICAL NOTES AND RECOMMENDATIONS

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#	Task	Status
1	Summarize key findings from the assessment.
2	Provide initial treatment recommendations.
3	Determine if a specialist referral is needed.
4	Document patient education provided.
5	Schedule follow-up or additional diagnostic tests.