Heart, Lymphatic, Peripheral p1 Flashcards
systole
blood out of ventricle into aorta
diastole
chambers relax and fill with blood
primary prevention
education about risk
stop smoking
secondary prevention
test
screening
bloodwork
risk factors
modifiable: stress, drug use, high bp
nonmodifiable: gender, age, ethnicity
describe the general appearance
effortless breathing, comfortable, no tripoding
unexpected: cyanosis, pallor
describe heaves or lifts
inspect
thrusting and visible lift of chest
chest should be rounded and symmetrical
how do you palpate heart
fingertips or apex to get apical pulse
over 5 ICS
describe thrills
feel for vibrations
when auscultating, what are you looking for
rate and rhythm, listening for apical pulse
during auscultating, describe the process
use diaphragm
high pitched and complete lub dub
60-100
should be slightly leaning forward
unexpected: tachycardia and bradycardia
what are the areas to auscultate
aortic: 2nd ICS
pulmonic: 2nd ICS left sternal border
Erb’s: 3rd ICS left sternal border
tricuspid: left lower sternal border
mitral: 5th ICS left clavicular line
all pigs eat too much
describe s1 and s2 heart sounds
s1: lub begin systole, av close, louder than s2 at apex
s2: dub, begin diastole, close semilunar, louder than s1 at base
describe s3 and s4 sounds
unexpected and low pitched
s3: ken-TUCK-y
s4: heard before s1, TEN-ne-see, heard in apical area
describe abnormal heart sounds
murmurs (swooshing sound)
increased blood velocity
what does diastolic show
sign of heart disease
pericardial friction rub
coarse rubbing from increase fluid
have client hold breath, if it goes away pleural
pericarditis
inflammation of heart sac
pulse deficit
apical and radial
rates should be equal
describe the rhythm
sa to av to av bundle to p fibers
PQRST
irregularly irregular rhythm
no pattern and comes rapid
regularly irregular rhytm
pattern
describe cardiac of aging adult
increased bp
left ventricular thickens
dysrhythmias may occur
