Shared Flashcard Set

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Heart Sounds
5 sites
20
Nursing
Undergraduate 1
06/13/2011

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Cards

Term
 Pulomonic
Definition
2nd intercostals, left sternal border
Term
 Aortic
Definition
2nd intercostals, right sternal border
Term
 Tricuspid
Definition
4th-5th intercostals, left sternal border
Term
 Mitral (apical)(PMI)
Definition
5th intercostals, left midclavicular line
Term
 2nd Pulmonic
Definition
2nd intercostals, left sternal border
Term
 Heart sounds affected by
Definition
• Patient position
Term
 Heart sounds affected by
Definition
• Use of the stethoscope (bell or diaphragm)
Term
 Diaphragm
Definition
- Normal heart sounds
Term
 Diaphragm
Definition
- S1 (lub) & S2 (dub)
Term
 Bell
Definition
• Low pitched (S3 & S4)
- Abnormal/murmors
Term
 Systole (S1): Lub
Definition
• Occurs when atrioventricular valves close• Closure/mitral and tricuspid valves
• Loudest at apex (5th intercostals space/left midclavicular line)
Term
 Diastole (S2): Dub
Definition
• Closure of aortic/pulmonic valves
• Loudest at base (2nd ICS, right sternal border)
• Chambers relax/fill with blood
Term
 S3
Definition
• Heard early in diastole immediately after S2
• Large volume blood flowing rapidly into either ventricle
o Check jugular vein and edema
• Early sign/ventricular overload
Term
 S4
Definition
• Heard immediately before S1
• Noncompliant ventricles (rigid, stiff)
 Auscultate S3 & S4 with Bell/Patient in Left Lateral Recumbent Position
Term
Heart Murmurs
Definition
 Prolonged extra sound r/t turbulent blood flow through ventricle/valve
Term
 Murmur :
Definition
swishing or blowing sound caused by increased blood flow through a valve
Term
 Dysrhythmia
Definition
irregular heartbeat
Term
 Essential Hypertension
Definition
develops without apparent cause
Term
 Thrill
Definition
continuous palpable sensation
Term
 Pulse Deficit:
Definition
Taking apical & radial pulse at same time. Should be equal. Radial pulse slower than apical: indicative of a cardiac problem (report to dr.)
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