Lesson 14 (HA Lab) Flashcards
How to grade intensity of murmur
1-6
The extra sounds
S3, S4
An opening snap
S3 S4
It begins after S1 and stop before S2; brief gaps audible
Midsystolic murmur
Begins at S1 and stops at S2
Pansystolic (holosystolic) Murmur
Starts in mid or last systole and persists up to S2
Late Systolic Murmur
Starts immediately after S2, without a discernible gap, and then usually fades into silence before the the next S1
Early Diastolic Murmur
Starts at a short time after s2; it may fade away, or merge into a late diastolic murmur
Meddiastolic Murmur
Starts late in diastole and typically continues up to S1
Late Diastolic (presystolic) Murmur
Another term for late diastolic murmur
Presystolic
Another term for Pansystolic Murmur
Holosystolic Murmur
The most difficult for a novice to determine
Shape of the murmur
What are the four valves
Aortic
Pulmonic
Tricuspid
Mitral
You will detect this frequently in children and in young adults to the age 35 or 40
S3
The atrial sound or atrial gallop
S4
It is dull, low in pitch, and heard better with bell
S4
Most common kind of murmur
Midsystolic Murmur
A murmur that grows louder
Crescendo Murmur
A murmur that grows softer
Decrescendo
A murmur that first rises in intensity, then falls
Crescendo-decrescendo Murmur
A murmur that has the same intensity throughout
Plateau Murmur
This is usually graded on a 6-poijy scale and expressed as fraction
Intensity
Describes the intensity of the murmur wherever it is loudest
Numerator
This indicated thr you are using
Numerator or Denominator
Denominator
This is categorised as high, medium, and low
Pitch
This is described in terms such as blowing, harsh, rumbling, and musical
Quality
Systolic Bp between 120 and 139 or diastolic Bp between 80 and 88
Prehypertension
Systolic Bp between 140 and 159 or diastolic Bp between 90 and 99
Stage 1 Hypertension
Systolic Bp - 160+
Diastolic Bp - 100+
Stage 2 Hypertension
The shape of midsystolic murmur
Crescendo-Decrescendo
The BMI that people should maintain
18.5-24.9
