Final Stuff

Question 1

A: What does [Maximal height of Internal Jugular Vein] represent?

B: What are the 4 Steps to measure this?

Answer 1

A: [Maximal height of Internal Jugular Vein] indicates Right Atrial pressure—>reflects hydration & volume status

B:
1st: STAND on pt R side and have them lay back with table at 30-45º

2nd: Turns pt head to the left and point out [Maximal height of RIGHT Internal Jugular Vein]
3rd: Take ruler and measure from [Sternal Angle of Louis] to the maximal height of R Internal Jug Vein
4th: Add 5 cm to that measurement = JVP

Question 2

A: How do you determine correct BP cuff size for a pt?
[2]

B: What are the 4 principal factor that influence Arterial Blood pressure?

Answer 2

1. WIDTH OF CUFF should be 40% of patient arm circumference
2. ## LENGTH OF BLADDER should be 80% of patient arm circumferenceB:
   4 principal factor that influence Arterial Blood pressure
   * PDSB *
   -Peripheral Vascular Resistance
   - DISTENSIBILITY of Aorta and Large Arteries
   -Stroke Volume of LV
   -Blood Volume

Question 3

Where is the surface projection on the precordium of the Right Ventricle?
1. RV occupies MOST of _____ _____ surface

2. RV is a _____-like structure sitting _____ and to the _____ of the sternum
3. RV inferior border is just below junction of _____ and _____ _____
4. RV narrows superiorly and meets the [_____ Artery] at the Left _____ [_____ Space]
   - ————————————————————————————-

B: What about the Left Ventricle?

Answer 3

1. RV occupies MOST of anterior cardiac surface
2. RV is a wedge-like structure sitting BEHIND and to the LEFT of the sternum
3. It’s inferior border is just below junction of sternum and xiphoid process
4. ## RV narrows superiorly and meets the [Pulmonary Artery] at the Left 3rd [Intercostal Space]B: Left Ventricle lies on the LEFT lateral border of the [Anterior cardiac surface]

Question 4

A: Where is the surface projection on the precordium of the R Atrium?

Answer 4

A: Right Heart Border is from the [R 2nd ICS] —-> [R 4th ICS]

Question 5

A: SPLITTING OF S2 is best auscultated in the ______

Answer 5

A: SPLITTING OF S2 is best auscultated in the [Pulmonic Area] = L 2nd ICS