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02.06 Heart Murmurs for CCRN Review

02.06 Heart Murmurs for CCRN Review

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Laura Gasparis Vonfrolio

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Heart Murmurs (Cheatsheet)

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Outline

Nursing Points

General

Heart Murmurs
1. Causes
  1. Valves stiff and open (blood flows through)
  2. Valves not completely closed -> insufficiency (backflow of blood)
2. Locations are heart where the heart is directing the blood
  1. Aortic -> right
  2. Pulmonic -> left
  3. Mitral -> midclavicular left
  4. Tricuspid -> bottom sternum
3. Systolic murmurs -> during contraction
  1. Sound = s1 -> swoosh -> s2
  2. Aortic stenosis
    1. Hear = harsh, loud, rough
    2. Caused by calcification of valves and rheumatic fever
  3. Mitral insufficiency
    1. Hear = loud, blow
    2. Caused by MI, rheumatic heart disease
4. Diastolic murmurs -> during filling
  1. Sound = s1 -> s2 -> swoosh
  2. Mitral stenosis
    1. Hear = rumble
    2. Caused by calcification
  3. Aortic insufficiency
    1. Hear = blow
    2. Caused by systemic HTN and rheumatic heart disease

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