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74 Cards in this Set
- Front
- Back
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S3
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Vibrations during ventricular filling
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S4
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Vibration created by atria contracting and pushing blood into a noncompliant ventricle
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Heart murmur
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Gentle, blowing, swooshing sound that can be auscultated on the chest wall
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Cardiac output
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Volume X heart rate
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Preload
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Blood filling in the ventricles
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Afterload
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Push against force to contract
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Who's at higher risk for heart disease?
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patients with diabetes 1 & 2, African americans, smokers, native americans and mexican americans, high cholesterol, obesity
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History Subjective Data for heart and neck vessels that start with C (4)
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Chest pain
Chest tightness Cough Cyanosis |
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History Subjective Data for heart and neck vessels that start with D (1)
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dyspnea or shortness of breath
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History Subjective Data for heart and neck vessels that start with (2)
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Orthopnea
OTC |
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History Subjective Data for heart and neck vessels that start with F (2)
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Fatigue
Family history |
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History Subjective Data for heart and neck vessels that start with E (2)
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Edema
Exercise |
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History Subjective Data for heart and neck vessels that start with N (2)
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Nocturia
nutrition |
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History Subjective Data for heart and neck vessels that start with P (2)
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Past history
prescribed meds |
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History Subjective Data for heart and neck vessels that start with F (1)
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Family history
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History Subjective Data for heart and neck vessels that start with S (2)
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Smoking
Street drugs |
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History Subjective Data for heart and neck vessels that start with A (1)
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Alcohol
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History Subjective Data for heart and neck vessels that start with M (1)
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Medications
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Auscultate carotid artery for?
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presence of bruit with bell
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'Inspect Jugular Venous pulse by
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30-45 degree angle
turning head observe pulsations (should be flat) |
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Inspect Anterior chest by:
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Looking at skin
noting lesions, masses color temp moisture |
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Palpate apical impulse which is located ? also looking for?
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4th or 5th intercostal space & midclavicular line
Looking for heves and lifts (asymmetry) |
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Palpate precodrium by?
and looking for ? |
Noting pulsations
looking for thrills |
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Ausculatation Assessment points: area #1? & where?
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Aortic- 2nd intercostal space, right sternal border
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Ausculatation assessment points: area #2? & where?
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Pulmonic- 2nd intercostal space, left sternal border
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Ausculatation Assessment points: area #3? & where?
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Erb's point- 3rd intercostal space
left sternal border |
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Ausculatation Assessment points: area #4? & where?
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Tricuspid- 4th intercostal space
left sternal border |
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Ausculatation Assessment points: area #5? & where?
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Mitral or apex- 5th intercostal space
left midclavicular line |
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Turbulent sound in the jugular vein
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bruit
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Decreased muscle oxygenation
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Ischemia
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Filling phase of the heart
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Diastole
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Usually 3rd intercostal space
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Erb's point
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Soft blowing or rasping sound
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Murmur
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Amount of blood leaving left ventricle per minute
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Cardiac output
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Chest pain
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Angina
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Palpable vibration
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Thrill
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Area on anterior chest overlying the heart and great vessels
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Precordium
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pumping phase of the heart
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Systole
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Narrowing of a structure
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Stenosis
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Inspect Anterior chest by:
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Looking at skin
noting lesions, masses color temp moisture |
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Palpate apical impulse which is located ? also looking for?
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4th or 5th intercostal space & midclavicular line
Looking for heves and lifts (asymmetry) |
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Palpate precodrium by?
and looking for ? |
Noting pulsations
looking for thrills |
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Ausculatation Assessment points: area #1? & where?
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Aortic- 2nd intercostal space, right sternal border
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Ausculatation assessment points: area #2? & where?
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Pulmonic- 2nd intercostal space, left sternal border
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Ausculatation Assessment points: area #3? & where?
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Erb's point- 3rd intercostal space
left sternal border |
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Ausculatation Assessment points: area #4? & where?
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Tricuspid- 4th intercostal space
left sternal border |
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Ausculatation Assessment points: area #5? & where?
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Mitral or apex- 5th intercostal space
left midclavicular line |
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Turbulent sound in the jugular vein
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bruit
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Decreased muscle oxygenation
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Ischemia
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Inspect Anterior chest by:
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Looking at skin
noting lesions, masses color temp moisture |
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Palpate apical impulse which is located ? also looking for?
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4th or 5th intercostal space & midclavicular line
Looking for heves and lifts (asymmetry) |
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Palpate precodrium by?
and looking for ? |
Noting pulsations
looking for thrills |
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Ausculatation Assessment points: area #1? & where?
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Aortic- 2nd intercostal space, right sternal border
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Ausculatation assessment points: area #2? & where?
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Pulmonic- 2nd intercostal space, left sternal border
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Ausculatation Assessment points: area #3? & where?
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Erb's point- 3rd intercostal space
left sternal border |
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Ausculatation Assessment points: area #4? & where?
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Tricuspid- 4th intercostal space
left sternal border |
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Ausculatation Assessment points: area #5? & where?
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Mitral or apex- 5th intercostal space
left midclavicular line |
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Turbulent sound in the jugular vein
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bruit
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Decreased muscle oxygenation
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Ischemia
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Heart's inability to pump enough blood to meet the metabolic demands of the body
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CHF
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Filling phase of the heart
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Diastole
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Usually 3rd intercostal space
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Erb's point
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Soft blowing or rasping sound
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Murmur
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Amount of blood leaving left ventricle per minute
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Cardiac output
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Chest pain
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Angina
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Palpable vibration
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Thrill
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Area on anterior chest overlying the heart and great vessels
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Precordium
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pumping phase of the heart
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Systole
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Narrowing of a structure
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Stenosis
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Hole in the atrial septum resulting in L to R shunt and causing large increase in pulmonary blood flow
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Atrial Septal Defect (ASD)
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Abnormal opening in septum between ventricles (usually sub aortic)
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Ventricular Septal Defect (VSD)
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Shunts a lot of venous blood directly into aorta away from pulmonary system so blood never gets oxygenated
1. R ventricular outflow stenosis 2.VSD 3.R ventricular hypertrophy 4.Overriding aorta |
Tetalogy of fallot
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Severe narrowing of descending aorta- increase workload on L ventricle
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Coarctation of the aorta
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Stream of blood regurgitates back into L atria during systole through incompetent mitral valve
in diastole blood passes back into L ventricle again |
Mitral regurgitation
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