Cardiac Sounds
this sound correlates with the closure of the AV valves & beginning of systole
s1
this sound is heard here: 2nd ICS RSB
aortic
these are temporarily used in the hospital to prevent clots; but don't forget to turn the machine on when they are applied!
ulcers may be circular, pale, or gangrenous
arterial insufficiency
this tool can help assess a weak pulse
this sound correlates with closure of the semilunar valves & beginning of diastole
s2
this sound is heard here: 5th ICS MCL
mitral
this item is needed for lifetime to prevent recurrence of venous issues
compression hose
skin may be thick and tough, brown to reddish/blue in color
venous insufficiency
an impression of varying grades will be noted with this assessment
pitting edema
this sound is turbulent blood flow in which a swooshing or blowing sound may be auscultated over the precordium
murmur
this sound is heard here: 2nd ICS LSB
pulmonic
this item helps ensure that you can assess capillary refill while wearing them
TED hose
pallor noted with legs elevated
arterial insufficency
carotid arteries
this sound can occur when blood flows too quickly through an unobstructed artery or when blood flow is partially blocked
bruit
this sound is heard here: 3rd ICS LSB
erb's
this class of medication can help prevent blood clots, particularly if someone is post-op or hospitalized and not getting OOB too much
anti-coagulation medications (ex: heparin)
pulses may be diminished or absent with delayed capillary refill
arterial insufficiency
this test can assess for early signs of peripheral vascular insufficiency
ABI - ankle/brachial index
these two types of heart sounds may be because of a cardiac issue like valvular regurgitation or stiffened ventricles
s3 and s4 (extra sounds)
this sound is heard here: 4th ICS LSB
tricuspid
promoting mobility is important to prevent this complication
DVTs
educate your patient to avoid crossing their legs with this type of insufficiency
venous insufficiency
your patient is c/o sudden pain and tenderness in the leg and you notice their skin is reddened and warm; what may be occuring?
DVT