Advanced Medical Surgical
What is the bloodflow of the heart? - ANSWER>>>-SVC/IVC
-Right atrium
-tricuspid valve
-right ventricle
-pulmonic valve
-pulmonary artery
-lungs
-pulmonary vein
-left atrium
-mitral valve
-left ventricle
-aortic valve
-aorta
what is the purpose of the cardiac valves?
what happens when they do not work correctly? - ANSWER>>>the
purpose is to allow blood to flow through the heart; if not working
correctly, blood can regurgitate (backwash) or sit still which causes
clots
what do you use the bell for? - ANSWER>>>low pitch sounds;
abnormal sounds like murmurs or gallops
what do you use the diaphragm for? - ANSWER>>>high pitch sounds;
normal sounds
what is the best position to put a patient in if you are having trouble
hearing heart sounds? - ANSWER>>>left lateral position
Where is the aortic area? - ANSWER>>>right 2nd ICS
Where is the pulmonic area? - ANSWER>>>left 2nd ICS
, where is Erb's point? - ANSWER>>>left 3rd intercostal space
where is the tricuspid area? - ANSWER>>>left lower sternal border
where is the mitral area? - ANSWER>>>LEFT 5th ICS - follow rib
laterally 7-9cm from the sternal border
where is S2 best heard? - ANSWER>>>base of the heart
where is S1 and S2 equal? - ANSWER>>>Erb's point
where is S1 best heard? - ANSWER>>>apex of the heart; mitral area
what is a ventricular gallop? - ANSWER>>>S3; increased filling in the
left ventricle
When is a S3 normal? when is not normal? - ANSWER>>>normal in
kids; not normal in anyone else- if new onset, look for cardiogenic
shock, CHF, or ventricular dysfunction
Where would you hear S3 best? - ANSWER>>>with the bell, at the
apex of the heart in left lateral position
What would you hear with a S3? - ANSWER>>>hear it after S2
(beginning of the diastole)- hear an extra sound
What is an atrial gallop? - ANSWER>>>S4; results from forceful atrial
contraction into a ventricle that is stiff
When would you see S4? - ANSWER>>>valve disease, hypertension,
older age
What would you hear with an S4? - ANSWER>>>precedes S1; end of
diastole; also an extra noise
What is the bloodflow of the heart? - ANSWER>>>-SVC/IVC
-Right atrium
-tricuspid valve
-right ventricle
-pulmonic valve
-pulmonary artery
-lungs
-pulmonary vein
-left atrium
-mitral valve
-left ventricle
-aortic valve
-aorta
what is the purpose of the cardiac valves?
what happens when they do not work correctly? - ANSWER>>>the
purpose is to allow blood to flow through the heart; if not working
correctly, blood can regurgitate (backwash) or sit still which causes
clots
what do you use the bell for? - ANSWER>>>low pitch sounds;
abnormal sounds like murmurs or gallops
what do you use the diaphragm for? - ANSWER>>>high pitch sounds;
normal sounds
what is the best position to put a patient in if you are having trouble
hearing heart sounds? - ANSWER>>>left lateral position
Where is the aortic area? - ANSWER>>>right 2nd ICS
Where is the pulmonic area? - ANSWER>>>left 2nd ICS
, where is Erb's point? - ANSWER>>>left 3rd intercostal space
where is the tricuspid area? - ANSWER>>>left lower sternal border
where is the mitral area? - ANSWER>>>LEFT 5th ICS - follow rib
laterally 7-9cm from the sternal border
where is S2 best heard? - ANSWER>>>base of the heart
where is S1 and S2 equal? - ANSWER>>>Erb's point
where is S1 best heard? - ANSWER>>>apex of the heart; mitral area
what is a ventricular gallop? - ANSWER>>>S3; increased filling in the
left ventricle
When is a S3 normal? when is not normal? - ANSWER>>>normal in
kids; not normal in anyone else- if new onset, look for cardiogenic
shock, CHF, or ventricular dysfunction
Where would you hear S3 best? - ANSWER>>>with the bell, at the
apex of the heart in left lateral position
What would you hear with a S3? - ANSWER>>>hear it after S2
(beginning of the diastole)- hear an extra sound
What is an atrial gallop? - ANSWER>>>S4; results from forceful atrial
contraction into a ventricle that is stiff
When would you see S4? - ANSWER>>>valve disease, hypertension,
older age
What would you hear with an S4? - ANSWER>>>precedes S1; end of
diastole; also an extra noise
