NURS 642 EXAM 2 review and key points |\ |\ |\ |\ |\ |\ |\ |\
latest update |\
Mitral stenosis murmur - CORRECT ANSWERS ✔✔Diastolic rumble with
|\ |\ |\ |\ |\ |\ |\ |\ |\
opening snap, Loud S1 murmur, low pitch, mid-diastolic; apical "crescendo
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
RUMBLE"
Mitral regurgitation murmur - CORRECT ANSWERS ✔✔Systolic, S3 with
|\ |\ |\ |\ |\ |\ |\ |\ |\
systolic murmur at 5th ICS MCL (apex); may radiate to base or left axilla,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
musical blowing or high pitch. This is heard in Mitral Valve prolapse.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Aortic stenosis murmur - CORRECT ANSWERS ✔✔Systolic "Blowing",
|\ |\ |\ |\ |\ |\ |\ |\
rough harsh murmur at 2nd left ICS (base) usually radiating to the neck
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Aortic regurgitation murmur - CORRECT ANSWERS ✔✔early diastolic
|\ |\ |\ |\ |\ |\ |\ |\
murmur-high pitched "blowing" at 2nd left ICS (base)
|\ |\ |\ |\ |\ |\ |\
CHADSVASC scoring system - CORRECT ANSWERS ✔✔C: CHF — 1
|\ |\ |\ |\ |\ |\ |\ |\ |\
H: HTN — 1
|\ |\ |\
A: Age ≥ 75 years — 2
|\ |\ |\ |\ |\ |\
D: DM — 1
|\ |\ |\
, S2: Stroke/TIA prior— 2
|\ |\ |\
V: Vascular disease (prior MI, PAD, aortic plaque) — 1
|\ |\ |\ |\ |\ |\ |\ |\ |\
A: age 65-74 years — 1
|\ |\ |\ |\ |\
S: sex category, female — 1
|\ |\ |\ |\ |\
CHADSVASC scoring system score card - CORRECT ANSWERS ✔✔Score > |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2 = get the patient anticoagulation
|\ |\ |\ |\ |\ |\
- for stroke risk in non-rheumatic afib
|\ |\ |\ |\ |\ |\
HASBLED score Afib bleeding risk - CORRECT ANSWERS ✔✔Hypertension
|\ |\ |\ |\ |\ |\ |\ |\
(SBP>160) - 1
|\ |\ |\
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)
|\ |\ |\ |\ |\ |\ |\ |\
latest update |\
Mitral stenosis murmur - CORRECT ANSWERS ✔✔Diastolic rumble with
|\ |\ |\ |\ |\ |\ |\ |\ |\
opening snap, Loud S1 murmur, low pitch, mid-diastolic; apical "crescendo
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
RUMBLE"
Mitral regurgitation murmur - CORRECT ANSWERS ✔✔Systolic, S3 with
|\ |\ |\ |\ |\ |\ |\ |\ |\
systolic murmur at 5th ICS MCL (apex); may radiate to base or left axilla,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
musical blowing or high pitch. This is heard in Mitral Valve prolapse.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Aortic stenosis murmur - CORRECT ANSWERS ✔✔Systolic "Blowing",
|\ |\ |\ |\ |\ |\ |\ |\
rough harsh murmur at 2nd left ICS (base) usually radiating to the neck
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Aortic regurgitation murmur - CORRECT ANSWERS ✔✔early diastolic
|\ |\ |\ |\ |\ |\ |\ |\
murmur-high pitched "blowing" at 2nd left ICS (base)
|\ |\ |\ |\ |\ |\ |\
CHADSVASC scoring system - CORRECT ANSWERS ✔✔C: CHF — 1
|\ |\ |\ |\ |\ |\ |\ |\ |\
H: HTN — 1
|\ |\ |\
A: Age ≥ 75 years — 2
|\ |\ |\ |\ |\ |\
D: DM — 1
|\ |\ |\
, S2: Stroke/TIA prior— 2
|\ |\ |\
V: Vascular disease (prior MI, PAD, aortic plaque) — 1
|\ |\ |\ |\ |\ |\ |\ |\ |\
A: age 65-74 years — 1
|\ |\ |\ |\ |\
S: sex category, female — 1
|\ |\ |\ |\ |\
CHADSVASC scoring system score card - CORRECT ANSWERS ✔✔Score > |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
2 = get the patient anticoagulation
|\ |\ |\ |\ |\ |\
- for stroke risk in non-rheumatic afib
|\ |\ |\ |\ |\ |\
HASBLED score Afib bleeding risk - CORRECT ANSWERS ✔✔Hypertension
|\ |\ |\ |\ |\ |\ |\ |\
(SBP>160) - 1
|\ |\ |\
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)
|\ |\ |\ |\ |\ |\ |\ |\