Jugular venous pressure

If there is evidence of fluid overload (elevated jugular venous pressure, edema, rales)... 

JVP Jugular venous pressure MSE Mental status exam... 

A 39-year-old man developed type 1 diabetes and lost 9 kg over 6 months (115). He was treated with intravenous fluids and insulin. Within 1 month he developed bilateral edema to the knees. The jugular venous pressure was not raised. 

The heart may also be affected in beriberi, with dilatation of arterioles, rapid blood flow, and increased pulse rate and pressure, and increased jugular venous pressure leading to right-sided heart failure and edema (so-caUed wet beriberi). 

Elevated jugular venous pressure is an important sign of heart failure and may be used to assess severity and response to therapy. 

Observation and assessment of physical findings (e.g., jugular venous pressure)... 

The jugular venous pressure (J VP) is used as a measure of right atrial pressure. The JVP is measured in centimeters from the sternal angle and is best visualized with the patient s head rotated to the left. The JVP is described for its quality and character, effects of respiration, and patient position-induced changes. When reporting a JVP, both the measure and the patient position must be reported. The JVP can be reported as actual centimeters above the manubrium, or... 

JVP jugular venous pulse jugular venous pressure... 

The clinical features associated with the hypernatraemic patient are variable. If there has been lluid loss, then the features of dehydration may be present (p. 12. and Fig. 3). In the ca.se of salt gain, there may be indications of lluid overload such as raised jugular venous pressure and pulmonary oedema. 

The various lluid compartment volumes can be assessed clinically to some extent. An indication of plasma volume ean be obtained from blood pressure (BP), pulse, jugular venous pressure (JVP) and central venous pre.ssure (CVP). The interstitial volume can be assessed by looking for oedema. The intracellular lluid compartment is the most difficult to assess clinically, but evidence of disordered cerebral function may be important. 

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