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Exam (elaborations)

NURS 642 EXAM 2 review and key points latest update

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NURS 642 EXAM 2 review and key points latest update

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NURS 642 EXAM 2 review and key points |\ |\ |\ |\ |\ |\ |\ |\




latest update |\




Mitral stenosis murmur - CORRECT ANSWERS ✔✔Diastolic rumble with
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opening snap, Loud S1 murmur, low pitch, mid-diastolic; apical "crescendo
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RUMBLE"



Mitral regurgitation murmur - CORRECT ANSWERS ✔✔Systolic, S3 with
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systolic murmur at 5th ICS MCL (apex); may radiate to base or left axilla,
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musical blowing or high pitch. This is heard in Mitral Valve prolapse.
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Aortic stenosis murmur - CORRECT ANSWERS ✔✔Systolic "Blowing",
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rough harsh murmur at 2nd left ICS (base) usually radiating to the neck
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Aortic regurgitation murmur - CORRECT ANSWERS ✔✔early diastolic
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murmur-high pitched "blowing" at 2nd left ICS (base)
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CHADSVASC scoring system - CORRECT ANSWERS ✔✔C: CHF — 1
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H: HTN — 1
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A: Age ≥ 75 years — 2
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D: DM — 1
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, S2: Stroke/TIA prior— 2
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V: Vascular disease (prior MI, PAD, aortic plaque) — 1
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A: age 65-74 years — 1
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S: sex category, female — 1
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CHADSVASC scoring system score card - CORRECT ANSWERS ✔✔Score > |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



2 = get the patient anticoagulation
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- for stroke risk in non-rheumatic afib
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HASBLED score Afib bleeding risk - CORRECT ANSWERS ✔✔Hypertension
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(SBP>160) - 1
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Abnormal liver or renal function - 1 point each (2 poss) |\ |\ |\ |\ |\ |\ |\ |\ |\ |\




Stroke - 1 |\ |\




Bleeding (major bleeding Hx) - 1 |\ |\ |\ |\ |\




Labile INRs on Warfarin - 1 |\ |\ |\ |\ |\




Elderly (>65 yo) - 1 |\ |\ |\ |\




Drugs or alcohol - 1 point each (2 poss)
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