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Details

Nursing Skills LP5
Cardiovascular Assessment
11
Nursing
Undergraduate 1
03/30/2014

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Cards

Term
Point of Maximal Impulse (PMI)
Definition
apical pulse- a central pulse
Term
S1 Heart sounds
Definition
-when AV valves close
-dull low pitched sound "lub"
-can be heard at all sites
-usually louder at apical area
Term
S2 Heart sounds
Definition
-semilunar valves close
-"dub"
-can be heard at all sites
-usually louder at base of heart
Term
S3 Heart sounds
Definition
-usually not heard
-low in pitch
-occurs early in diastole right after S2
-sounds like "lub-dub-e"
-normal in children and young adults
-may indicate heart failure
Term
S4 Heart sounds
Definition
-ventricular gallop
-occurs near the very end of diastole jjust before S1 and creates the sound of "dee-lub-dub" (S4,S1,S2)
-can be heard in older clients and sign of hypertension
Term
Identify heart sounds in all four anatomic sites (APTM)
APe To Man
Definition
Aortic-right side 2nd intercostal
Pulmonic-left side 2nd intercostal
Tricuspid- left side 5th intercostal
Mitral:-left side follow 5th intercostal to midclavicular line
Term
palpate pulses as assess for RAS
Definition
Rhythm
Amplitude 0, +1, +2, +3
Symmetry
Term
peripheral edema scale
Definition
0-4
Term
assess extremities for perfusion
CMST
Definition
color
moisture
sensation
temperature
Term
bruit
Definition
blowing or swishing sound created by turbalence of blood flow due to a narrowed arterial lumen or to a condiioin, such as anemiaor hyperthyroidism, that elevates cardiac output
Term
thrill
Definition
often accompanies a bruit, is a vibrating sensation like the purring of a cat or water running through a hose. Indicates turbulent blood flow due to arterial obstruction
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