Assessment
How should a nurse assess for mitral valve regurgitation?
Listen with the bell of the stethoscope at the Apex (Left 5th intercostal space)
Describe S1
Systole
Closure of the Atrioventricular Valves (Mitral and Tricuspid)
Pericardium
Fluid filled sac that surrounds and protects the heart
Modifiable risk factors associated with cardiovascular disease
Cholesterol - do not consume large quantities of saturated fats
Exercise
Relaxation strategies
Smoking Cessation
Limiting alcohol intake
List a symptom associated with Right-Sided heart failure
Increased jugular venous pressure
Describe the proper sequence for auscultating heart sounds.
Listen with the diaphragm of the stethoscope at the aortic-pulmonic-erbs-tricuspid-mitral valves.
Listen with the bell of the stethoscope at the same landmarks.
Listen at the base of the heart and the apex
Describe S2
Diastole (Mitral and Tricuspid Valves are open)
Aortic and Pulmonic Valves are Closed
Myocardium
Thickest layer of the heart responsible for contracting
Common symptoms of heart disease
Nocturia and orthopnea
How should the nurse assess the Apical Impulse
While the patient is in left lateral position listen with the bell of the stethoscope at the left 5th midclavicular space
Endocardium
Inner-most layer of the heart lining the chambers and valves