Family Nurse Practitioner Exam Study :
cardiac
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FNP PREP Cardiac questions NURSE PRACTITIONER CERTIFICAT... PNVN 1631- Quiz #2
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Elderly goal <150/90
Diabetic or CKD goal < 140/90
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1 JNC 8 2 ACC 2019
3 NICE 2021 4 WHO 2020
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apical area.
mitral regurgitation listening
point
loud, high pitched, holoSYSTOLIC
mitral regurgitation sound & radiates to axllia, heard in s1, at apex
murmur type w/ stethoscope diaphragm.
, 5th intercostal space, mid-clavicular
line
Mitral Listening Point
2nd Inter Costal Space Right of
Sternum
Aortic Listening Point
(aortic insufficiency) incompetent aortic valve allowing backward
aortic regurgitation
blood flow into left ventricle during diastole
"mid-systolic ejection murmur best heard at the 2nd right
aortic stenosis murmur
intercostal space"
Mitral Regurgitation
MR Peyton Manning As MVP, Physiologic Murmur
Systolic Murmurs Aortic Stenosis
Mitral Valve Prolapse
only systolic murmurs radiate
Radiating murmurs
-Improper closure of the mitral valve
-Most common
Mitral Valve Prolapse
Aortic Regurgetation
ARMS, Diastole Murmurs
Mitral Stenosis
first heart sound atrioventricular (mitral and tricuspid) valves
S1
close
second heart sound produced by closure of semilunar (aortic
S2
and pulmonic) valves
Systolic Murmurs
mitral regurgitation
Radiates to axilla loud blowing high pitched
-narrowing of the aorta
-mid systolic ejection
-radiates to neck
aortic stenosis
-harsh noisy.
-avoid physical exertion
-sudden death
-Mitral stenosis low pitched rumbling, at apex
Diastolic murmurs qualities
-Aortic regurgitation, high pitched blowing (use diaphragm)
heard at apex
Mitral stenosis
LVH/RVH (resistance to filling)
- Pulmonary Stenosis
S4 heart sound
- Pulmonary HTN
-Risk for MI