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CVS Assessment
Health Assessment Cardio Vascular System
Question | Answer |
---|---|
Patient's position to examine heart | Supine 30 degrees |
Bruits | hummming vibrations |
anatomic location of heart sounds | interspaces, midsternal,midclavicular, axillary lines |
where is S1 louder? | Apex |
where is S2 louder? | Base |
Heart sounds are result of event: | hemodynamics, conduction, movement of heart |
systolic | contration or emptying phase |
diastolic | relaxation or resting/filling phase |
cardiac output | amount of blood ejected per minutestroke volume x heart rate |
S1 | beginning of systole, closure of Mitral and Tricuspid valves, apex, Lt lateral sternal border |
S2 | ending of systole, closure of pulmonic and aortic valves, base, 2nd Rt intercostal space |
S3 | extra heart sound that occurs soon after the normal two "lub-dub" heart sounds (S1 and S2). Also called protodiastolic gallop, ventricular gallop. |
S4 | extra heart sound that occurs immediately before the normal two "lub-dub" heart sounds (S1 and S2). S4 has also been termed an atrial gallop or a presystolic gallop |