Module 2 Flashcards
Components of Cardiovasc Exam
General inspection, take pulse and BP, assess JVP, palpation, ausculation, and check vital signs (ECG)
Body Mass Index (BMI)
BMI= kg X m^2; normal is btw 18.5-24.9
Marfans
aortic dissection or regurgitation
Down Syndrome
Atrial/ventricular septal defect
Tuner’s Syndrome
coarctation of aorta (narrowing)
Pulsus Paradoxus
large fall in pulse volume on inspiration
Bounding Pulse
large volume; caused by anemia, respiratory failure
Pulsus Alternans
alternating large and small volume pulses
Jugular Venous Pressure (JVP)
Identifies right heart failure and pulmonary embolism
Large A Wave (JVP abnormality)
caused by tricuspid stenosis, pulmonary stenosis and pulmonary hypertension
Cannon Wave (JVP abnormality)
caused by atrial fibrillation, complete heart block, VVI pacing, ventricular tachycardia
STEEP X,Y, Descent (JVP abnorm)
caused by constrictive pericarditis, cardiac tamponade
Large V Wave, CV wave (JVP abnorm)
from tricuspid regurgitation
Kussmaul’s Sign (JVP abnorm)
increased JVP on inspiration, constrictive pericarditis, cardiac tamponade
Palpation
determines edema; apply hands to exterior surface to detect evidence of disease
Heaving
high afterload
Thrusting
high preload
Ausculation
listening with stethescope to heart sounds
First Heart sounds (S1)
located in the Apex, high pitched; is the normal closure of the mitral and tricuspid (AV) valves
Second Heart Sound (S2)
located in the base; high pitched; is the normal closure of the aortic and pulmonic (semilunar) valves; on inspiration have early aortic sound (A2) and delayed pulmonic (P2)