NURS 2320U Lecture Notes - Coronary Artery Disease, Tricuspid Valve, Heart Failure

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14 Mar 2014
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Childhood onset: cad (coronary artery disease), mi, htn (hypertension), Cva (cerebrovascular accident), aaa (stroke), chf (congestive heart failure) Untreated strep a throat infections cvd, kidney disease. Race may predispose to higher risk of cva, cad, htn, dm. Claudication (pain) often with walking narrowing arteries/blood supply to. Medical: cardiac specific: aaa, angina, cad, chf, htn, mi, pvd, hyperlipidemia. Assess for the following diseases: aneurysm, chf, cad, Normal findings: no visible pulsations except for the pmi at the 5th intercostal space mid-clavicular line (mitral valve area) During palpation you want to note pulsations, thrills and heaves. There should be no palpable thrills or heaves. Keep in mind that less than 50% of all individuals have a palpable apical pulse (pmi) Aortic: (a2p2) second heart sound is the loudest. A= aortic 2= 2nd intercostal space, 2nd heart sound. Right side of neck, check internal jugular impulse at the base of the. If unable to visualize the internal jugular, then measure the external.

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