Cardio PE Flashcards
Jugular venous pressure and pulsation is an important index of the ______________ and ___________
right heart pressure and cardiac function
JVP=_____________ =
right atrial pressure = pressure in the venous system
What will changing pressures in the right atrium during diastole and systole produce?
oscillating filling and emptying in the jugular veins
What does a pulsation over the pulmonic area suggest?
pulmonary HTN
What does a pulsation over the aortic area suggest?
a dilated aorta
What are heaves?
are sustained impulses that rhythmically lift your fingers, usually produced by an enlarged right or left ventricle
What are thrills?
a buzzing or vibratory sensation caused by underlying turbulent flow. If present, auscultate the same area for murmurs.
If you palpate a thrill with an associated murmur, what does this change?
your murmur grade
The diaphragm is better for ________ sounds of _______
high pitched, S1 and S2
The bell is better for __________ of ___________ and the murmur of _________
low pitched, S3 and S4, mitral stenosis
In what positions do you auscultate the patient in?
Recumbent
Left lateral decubitus
Sitting forward
What are the 5 characteristics of a murmur?
Intensity / Grade
Duration
Location / radiation
Pitch
Configuration
Accumulation of fluid in the peritoneal cavity are associated with what?
JVP and LE edema. Patient will often describe increased abdominal girth and tightness
What is pitting edema?
fluid accumulation in the skin
What is non pitting edema?
lymphedema or myxedema
