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NUR263: Hear and peripheral vascular

Heart and peripheral vascular

AB
Location of aortic valve sound2nd ICS, RSB
Location of pulmonic valve sound2nd ICS, LSB
Location of tricuspid valve sound4th ICS, LSB
Location of mitral valve sound/PMI/AP5th ICS, MCL
Erb's point3rd ICS, LSB
Normal location of palpable pulsationPMI
diaphragm of stethoscope trasmitshigh frequency sounds
Bell of the stethoscope transmitslow-frequency sounds
S1 is produced fromclosure of the mitral and tricuspid valves
S2 is produced fromclosure of the aortic and pulmonic valves
S1 is best heard atthe apex/ mitral and tricuspid landmarks
S2 is best heard atthe base/ aortic and pulmonic landmarks
Lub, dub, dubthree men in a tub
S3, ventricular gallop is heard inpregnancy, CHF, restrictive myocardial disease
S4, atrial gallop is head inCAD, cardiomyopathy, aortic stenosis
systolic murmurs are caused byaortic or pulmonic stenosis or mitral or tricuspid regurgitation
diastolic murmurs are caused byaortic or pulmonic regurgitation or mitral or tricuspid stenosis
this type of murmur is the most serious indicating pathologydiastolic
A leathery, grating, high pitched sounds that is continuous when holding breath isa pericardial friction rub
prosthetic heart valves create this soundclicking or ticking
Increased JVD is a sign ofincreased CVP
Corotid bruits place the patient at risk for thisstroke
Capilarry refill > 3 sec indicates thisdecreased tissue oxygenation
Homans sign is used for diagnosis ofDVT
Internittant claudication indicatesarteriosclerosis/arterial insufficiency
Allen's testused for radial/ulnar artery assessment
Normal pulse2+ intensity


Karin Sherrill

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