Study online at https://quizlet.com/_i3nofp
1. aneurysm: weakening of a blood vessel wall
2. tracheal tug test: how do you test for an aortic aneurysm?
3. CVA (cerebral vascular accident): aka stroke
-damage to brain due to interruption of blood supply
4. claudication: pain from muscle ischemia (reduced blood flow)
5. ischemia: reduced blood flow
6. peripheral arterial disease: what often causes claudication?
7. aortic, pulmonary, erb's, tricuspid, mitral: what are the locations to listen for heart sounds?
8. aortic: site to auscultate for heart sounds
-2 ICS, RSB
-where S2 is heard loudest
-due to closing of aortic and semilunar valves that are close to this site
9. base (aortic location): where is S2 heard the loudest?
10. closing of aortic and pulmonic semilunar valves: what causes S2 sounds?
11. pulmonary: site to auscultate for heart sounds
-2 ICS, LSB
-S2 is heard louder here
12. erb's: site to auscultate for heart sounds
-aka 2nd pulmonary
-3 ICS, LSB
-S2 heard louder here
13. tricuspid: site to auscultate for heart sounds
-4 ICS, LSB
-S1 sound is equal to S2 sound here
14. mitral: site to auscultate for heart sounds
-5 ICS, MCL
-S1 heard loudest here
-due to closing of mitral and tricuspid valves that are close to this point
15. apex (mitral location): where is S1 heard the loudest?
16. closing of mitral and tricuspid valves: what causes S1 sounds?
, NURS 2030 Exam 2
Study online at https://quizlet.com/_i3nofp
17. S1: heart sound
-closing of mitral and tricuspid valves
-best heard at apex
18. S2: heart sound
-closing of aortic and pulmonic semilunar valves
-best heard at base
19. S3: heart sound (can be abnormal)
-passive filling and distention of ventricle walls from the atria
-results in vibration of the ventricle walls
-heard closer to S2
20. S4: heart sound (can be abnormal)
-2nd stage of ventricular filling with vigorous atrial ejection
-results in vibration of valves, papillae, and ventricle walls
-heard closer to S1
21. splitting: abnormal heart sound
-occurs when the atrioventricular (mitral and tricuspid) valves or semilunar (pulmonic and aortic) valves don't close at
the same time
-more common in children than adults
22. jugular vein distention: condition caused by right sided heart failure
-check for with pt laying at 45 degrees
23. grade I: heart murmur grade
-barely audible in a quiet room
24. grade II: heart murmur grade
-quiet but clearly audible
25. grade III: heart murmur grade
-moderately loud
26. grade IV: heart murmur grade
-loud
-associated with a thrill
27. grade V: heart murmur grade
-very loud
-thrill easily palpated