EXCI 252 Study Guide - Midterm Guide: Heart Valve, Korotkoff Sounds, Intercostal Space

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Lub : closing of av valves and opening or semilunar valves. Best heard at 4th to 5th intercostal space, midclavicular line. Best heard at 2-3 intercostal space 2-3 cm left of sternum. Position of eartips must be pointed forward in your ears. Normal: under 120 systolic and under 80 diastolic. Stage 2 hypertension: above 160 systolic, above 100 diastolic. Bladder should be 80% of arm circumference (adults), 100% (kids) Cuff too wide underestimation of bp. Cuff too loose overestimation of bp. Do not press too heavily on bell could give lower diastolic readings. Deflation too fast underestimation bp, overestimation of diastolic bp. Very slow deflation discomfort an anxiety increase bp. Knee should be slightly bent during full extension. Heart rate should be between 130-150 bpm. Stabilize their arm during hr and bp readings. Phase 1 is determined at systolic, and phase 4 is determined as their dbp. Phase 5 may not exist during exercise conditions.

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