Week 8 - CV, neck, peripheral and lympatic Flashcards Preview

HAP FINAL - CK > Week 8 - CV, neck, peripheral and lympatic > Flashcards

Flashcards in Week 8 - CV, neck, peripheral and lympatic Deck (97)
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1

Common cardiovascular symptoms

Chest pain
Dyspnea, orthopnea, cough
Diaphoresis
Fatigue
Edema
Nocturia
Palpitations

2

How to check for jugular vein distention

Position the patient with the head of the bed at 30-45 degrees to promote visibility of the pulsation.
Right-side is easier to see.

3

S3 and S4 sounds are commonly called what?

Gallops

4

Extra heart sound: "venous hum"

continuous, rough, noisy, occasionally accomp by high-pitched whine. May be louder during diastole. It's low pitched; heard best w/ bell above the medial third of the clavicles.
Normal in children and pregnancy

5

Extra heart sound: "Pericardial Friction Rub"

Triple phased during midsystole, mid-diastole, and presystole.
A scratchy, leathery quality results from the parietal and visceral pleura rubbing together.

Sound increases on leaning forward and during exhalation. It is heard best in the 3rd left ICS at the sternal border

6

Extra heart sound: "summation gallop"

This is the same as the quadruple rhythm but with a faster rate. S3/S4 merge to create one sound.

7

Extra heart sound: "opening snap"

Indicates mitral valve is mobile & “snaps” during early diastole from high atrial pressure, such as with mitral stenosis

8

Ejection click

results from an open valve that moves during the beg of systole. Heard best w/ diaphragm of stethoscope-audible over the aortic or pulmonic areas

9

How to describe intensity (loudness) of murmurs (6 levels)

I. Faint; heard only with special effort
II. Soft but readily detected
III. Prominent but not loud
IV. Loud; accompanied by thrill
V. Very loud
VI. Loud enough to be heard with stethoscope just removed from contact with the chest wall

10

edema can cause asymmetry in ONE upper exremity when issue is related to ______

Lymph

11

edema can cause asymmetry in ONE lower exremity when issue is related to ______

DVT

12

when edema is in BOTH lower extremities, issue could be related to

kidney or CHF

13

A radial pulse could be weak and thready due to

shock, PAD, hypothyroidism

14

A radial pulse could be bounding due to

exercise, anxiety, fever, anemia, hyperthyroidism

15

splenomegaly could be related to

mono, issues with RBC breaking down, sickle cell patients have blood that can clog up at lymphs

16

Sinus arrhythmia in children is a NORMAL finding - true/false

TRUE

17

what is sinus arrhythmia

HR changes on inspiration (faster) and expiration (slower)

18

In children, it is NORMAL to have extra S sounds (splitting, S1 S2) - true/false

TRUE

19

In older adults, why might extra S sounds be present?

Bc heart isn't as compliant, doesn't expand/contract like it used to

20

in older adults, atherosclerosis can lead to

poor perfusion

21

in older adults, a carotid or abdominal bruit can put organs such as _______ in danger

kidneys

22

Umbilicus appearance:
o Elevated could mean:

ascites, hernia

23

Umbilicus appearance:
-Sunken could mean:

this is seen in obese patients

24

Umbilicus appearance:
-Blueish could mean:

cullen sign (internal bleeding)

25

Umbilicus appearance:
-excessive abdominal aorta pulsations could mean:

if very bounding, could indicate aneurysm

26

In distension d/t FECES, auscultation is ______ and percussion is _______over feces

normal, dull

27

What is a "thrill"

palpable, rushing vibration from turbulent blood flow (cat purr) w/incompetent valves, pulmonary HTN, septal defects, AV fistula

28

the "lub" heart sound indicates:

S1, systole (AV valves (mitral and tricuspid) close)

29

the "dub" heart sound indicates:

S2, diastole (SL valves (pulmonic and aortic) close)

30

S3 heart sound

ventricular gallop "Ken-tuck-y"
Causes: fluid overload, HF
May be normal in youth and pregnancy