Cardiopulmonary Part Two Flashcards

1
Q

when is S1 heard

A

beginning of systole

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2
Q

S4 is indicative of

A

PATHOLOGY

CAD
MI
aortic stenosis
chronic HTN

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3
Q

what does S1 indicate

A

normal closure of mitral and tricuspid

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4
Q

what are examples of gallop rhythms

A

S3

S4

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5
Q

what is T wave

A

ventricular repolarization

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6
Q

what is QT interval

A

time for electrical systole

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7
Q

normal HR for adults and teenagers

A

60-100 bpm

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8
Q

what is a bounding, full pulse indicative of

A

shortened ventricular systole

decreased peripheral pressure

aortic sufficiency

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9
Q

where is the tricuspid valve located

A

4th left intercostal

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10
Q

how many bpms is bradycardia

A

under 60 bpm

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11
Q

when does S4 occur

A

just before S1

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12
Q

what are bruits indicative of

A

atherosclerosis

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13
Q

when is diastolic murmur heard

A

between S2 and S1

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14
Q

what does P wave mean

A

atrial depolarization

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15
Q

what is syncope

A

transient loss of consciousness

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16
Q

Grading Scale for Peripheral Pulses

A

0: absent pulse, not palpable

1+: pulse diminished, barely perceptible

2+: easily palpable, normal

3+: full pulse, increased strength

4+: bounding pulse

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17
Q

where is the mitral valve located

A

5th left intercostal

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18
Q

diastolic murmur indicates

A

valvular disease

19
Q

S3 is indicative of

A

congestive (LV) heart failure

20
Q

what is diaphoresis

A

excess sweating and cool, clammy skin

21
Q

what does systolic murmur indicate

A

valvular disease

or

it could just be normal

22
Q

how long should regular pulses (regular rhythm) be palpated for

A

30 seconds

23
Q

what is a gallop rhythm

A

abnormal heart rhythm with three sounds in each cycle (resembles the gallop of a horse)

24
Q

what is pallor

A

washed out, absence of pink, rosy color

25
Q

when does S3 occur

A

after S2

26
Q

where are bruits common

A

carotid

femoral arteries

27
Q

normal children heart rate

A

60-140 bpm

28
Q

best pulse to palpate for infants

A

brachial pulse

29
Q

what is ST segment

A

beginning of ventricular repolarization

30
Q

where is the aortic valve located

A

2nd right intercostal

31
Q

when is systolic murmur heard

A

between S1 and S2

32
Q

what does S2 indicate

A

normal close of aortic and pulmonary

33
Q

how long should irregular rhythm pulses be palpated for

A

1-2 minutes

34
Q

how many bpms is tachycardia

A

over 100 bpm

35
Q

what is bruit

A

an adventitious sound or murmur of arterial or venous origin

36
Q

what is a thrill

A

an abnormal tremor accompanying a vascular or cardiac murmur (felt on palpation)

37
Q

what does PR interval mean

A

time required for impulse to travel from atria through conduction system to Purkinje fibers

38
Q

for auscultation, where is stethoscope placed

A

directly on the chest

39
Q

where is the pulmonic valve located

A

2nd left intercostal

40
Q

how are heart murmurs graded

A

grade 1-6

(1 means softest audible)

(6 means audible with stethescope off the chest)

41
Q

what does QRS wave mean

A

ventricular depolarization

42
Q

when is S2 heard

A

end of systole

43
Q

what is postural tachycardia syndrome

A

sustained heart rate increase over 30 bpm within 10 minutes of standing