step 6

Question 1

what happens at step 6

Answer 1

Auscultation of the chest

Question 2

running order

Answer 2

hearts valves
lungs

Question 3

What four valves are we auscultating ?

Answer 3

Aortic
pulmonary
tricuspid
mitral

Question 4

the four valves where are we ascultating and which side of the stethoscope ?

Answer 4

The aortic valve at the 2nd ICS right sternal edge

pulmonary valve at the 2nd ICS left sternal edge

tricuspid valve 4 ICS lower left sternal edge

mitral valve 5th ICS mid clavicular line

Use the diaphragm then do with the bell

Question 5

what are we looking for when listening to the valves?

Answer 5

murmers

Question 6

what should we do if we detect a murmer ? why?

Answer 6

ask the patient to take a deep breath and expire as this extenuates the murmer.

Question 7

What should we doo for the mitral valve? why?

Answer 7

lean to the left side and expire as it will extenuate the murmer.

Question 8

Where are we ascultatiing the lungs and what for and what can these indicate in regards to the cardio.

Answer 8

lungs 2nd 4th and 6th ICS

listen for coarse crackles for pulmonary oedema which is secondary to left ventricular hypertrophy