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Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)

Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)

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Outline

Objective

Effectively apply the “APE To Man” mnemonic and its variations, “All People Enjoy Time Magazine,” to accurately recall and identify the anatomical locations of heart valve auscultation sites, including Aortic, Pulmonic, Erb’s point, Tricuspid, and Mitral, based on their associated intercostal spaces and positional cues. This mnemonic will serve as a valuable memory aid for precise cardiac assessment during clinical practice and examinations.

APE To Man

A-Aortic
P-Pulmonic
E-Erbs points
T-Tricuspid
M-Mitral

heart valve nursing mnemonic

Description

Aortic and Pulmonic (A&P): 2 words, 2 spaces; these coincide in that they are both in the 2nd intercostal space. A is immediately to the right of the sternum, P is immediately to the left of the sternum. Erb’s point: Erb has 3 letters; you can find this point in the 3rd intercostal space (just to the left of the sternum), also the 3rd space to auscultate Tricuspid: 5th intercostal, just to the left of the sternum. Tri = 3, this is the fourth place to auscultate in the 5th intercostal space! Mitral: Mit sounds similar to mid.. Midclavicular area and straight down just below nipple line.

Now, when we’re talking about the heart, we’ve got four important valves to keep in mind: two atrioventricular (AV) valves and two semilunar valves. The AV valves are like the gatekeepers between the atria and ventricles. On the right side, we’ve got the tricuspid valve, and on the left side, it’s the mitral valve, which is also known as the bicuspid valve.

Then, we’ve got the semilunar valves, which hang out between the ventricles and those big arteries – the pulmonary artery and the aorta. On the left, it’s the aortic valve, and on the right, you’ve got the pulmonary valve.

Now, here’s the cool part: ‘APE to Man Heart’ is our secret handshake. It’s an easy way to remember the order in which we hear these valves during our auscultation adventures. As we move our stethoscope from the top right to the bottom left of the chest wall, we’ll hear them in the sequence they’re named in the mnemonic.

Another variation of this mnemonic is:

All People Enjoy Time Magazine

The idea is the same . . . A.P.E.T.M . . . once you nail this you will be a pro at heart assessment.

nursing mnemonic heart sounds

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Concepts Covered:

Study Plan Lessons

The 5-Minute Assessment (Physical assessment)

General Assessment (Physical assessment)

Integumentary (Skin) Assessment

Neuro Assessment

Head/Neck Assessment

EENT Assessment

Heart (Cardiac) and Great Vessels Assessment

Thorax and Lungs Assessment

Abdomen (Abdominal) Assessment

Lymphatic Assessment

Peripheral Vascular Assessment

Musculoskeletal Assessment

Genitourinary (GU) Assessment

Communicating with Patients

Nursing Process

What do you want me to know?

Duplicate Facts

Repeating Words

Denying Feelings

NCLEX® Question Traps

Acute vs Chronic

Hierarchy of O2 Delivery

Nutrition Assessments

Therapeutic Communication

Nurse-Patient Relationship

Thinking Like a Nurse

Critical Thinking

Maslow’s Hierarchy of Needs in Nursing

Overview of the Nursing Process

Skin Structure & Function

Skeletal Anatomy

Development of Bones

Muscle Anatomy (anatomy and physiology)

Muscle Cytology

Skeletal Muscle

Muscle Contraction

Muscle Physiology

Nervous System Anatomy

Membrane Potentials

Nerve Transmission

Autonomic Nervous System (ANS)

Intro to Circulatory System

Electrical Activity in the Heart

Cardiac (Heart) Physiology

Blood Pressure (BP) Control

Vessels & Fluid

Respiratory Structure & Function

Breathing Movements

Breathing Control

Respiratory Functions of Blood

Digestive System Anatomy

Mouth & Oropharynx

Small Intestine

Large Intestine

Liver & Gallbladder

Urinary System Anatomy (Anatomy and Physiology)

Renal (Kidney) Structure & Function

Renin Angiotensin Aldosterone System (RAAS)

Formation & Excretion of Urine

Renal (Kidney) Fluid & Electrolyte Balance

Renal (Kidney) Acid-Base Balance

Pituitary Gland

Male Reproductive Anatomy (Anatomy and Physiology)

Female Reproductive Anatomy (Anatomy and Physiology)

Epithelial (Skin) Tissues

Types of Epithelial (Skin) Tissue

Connective Tissues

Fluid Compartments

Fluid Pressures

Fluid Shifts (Ascites) (Pleural Effusion)

Isotonic Solutions (IV solutions)

Hypotonic Solutions (IV solutions)

Hypertonic Solutions (IV solutions)

Potassium-K (Hyperkalemia, Hypokalemia)

Sodium-Na (Hypernatremia, Hyponatremia)

Calcium-Ca (Hypercalcemia, Hypocalcemia)

Chloride-Cl (Hyperchloremia, Hypochloremia)

Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)

Phosphorus-Phos

Heart (Cardiac) Sound Locations and Auscultation

Nursing Care and Pathophysiology for Heart Failure (CHF)

Nursing Care and Pathophysiology of Myocardial Infarction (MI)

Nursing Care and Pathophysiology of Diabetes Mellitus (DM)

Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)

Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)

Nursing Care and Pathophysiology for Arterial Disorders

Nursing Care and Pathophysiology for Aortic Aneurysm

Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)

Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)

GERD (Gastroesophageal Reflux Disease)

Nursing Care and Pathophysiology for Pancreatitis

Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis

Nursing Care and Pathophysiology for Hemorrhoids

Nursing Care and Pathophysiology for Appendicitis

Nursing Care and Pathophysiology for Cholecystitis

Nursing Care and Pathophysiology for Hepatitis (Liver Disease)

Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)

Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)

Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)

Nursing Care and Pathophysiology for Syphilis (STI)

Nursing Care and Pathophysiology for Herpes Simplex (HSV, STI)

Nursing Care and Pathophysiology for Menopause

Nursing Care and Pathophysiology of Glomerulonephritis

Pressure Ulcers/Pressure injuries (Braden scale)

Nursing Care and Pathophysiology for Herpes Zoster – Shingles

Integumentary (Skin) Important Points

Nursing Care and Pathophysiology for Anaphylaxis

Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)

Diabetes Management

Nursing Care and Pathophysiology for Sepsis

Fluid Volume Deficit

Fluid Volume Overload

Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)

Nursing Care and Pathophysiology of Osteoarthritis (OA)

Nursing Care and Pathophysiology of Osteoporosis

Nursing Care and Pathophysiology for Compartment Syndrome

Casting & Splinting

Impulse Transmission

Cerebral Metabolism

Blood Brain Barrier (BBB)

Levels of Consciousness (LOC)

Routine Neuro Assessments

Adjunct Neuro Assessments

Brain Death v. Comatose

Intracranial Pressure ICP

Nursing Care and Pathophysiology for Multiple Sclerosis (MS)

Nursing Care and Pathophysiology for Myasthenia Gravis

Nursing Care and Pathophysiology for Parkinsons

Miscellaneous Nerve Disorders

Tension and Cluster Headaches

Nursing Care and Pathophysiology for Ischemic Stroke (CVA)

Stroke Assessment (CVA)

Stroke Therapeutic Management (CVA)

Stroke Nursing Care (CVA)

Seizure Causes (Epilepsy, Generalized)

Seizure Assessment

Seizure Therapeutic Management

Nursing Care and Pathophysiology for Seizure

Neurological Fractures

Spinal Cord Injury

Nursing Care and Pathophysiology for Meningitis

Nursing Care and Pathophysiology for Asthma

Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)

Nursing Care and Pathophysiology for Pulmonary Edema

Nursing Care and Pathophysiology for Influenza (Flu)

Nursing Care and Pathophysiology for Tuberculosis (TB)

Nursing Care and Pathophysiology of Pneumonia

Isolation Precautions (MRSA, C. Difficile, Meningitis, Pertussis, Tuberculosis, Neutropenia)

Coronavirus (COVID-19) Nursing Care and General Information

Artificial Airways

Airway Suctioning

Nursing Care and Pathophysiology for Pneumothorax & Hemothorax

Nursing Care and Pathophysiology for Pulmonary Embolism

Alveoli & Atelectasis

Wound Care – Assessment

Aortic Aneurysm – Management Nursing Mnemonic (CRAM)

Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)

Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)

Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)

Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)

Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)

Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)

CHF Treatment Nursing Mnemonic (UNLOAD FAST)

Cyanotic Defects Nursing Mnemonic (The 4 T’s)

Heart Failure-Left-Sided Nursing Mnemonic (CHOP)

Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)

Heart Failure – Right Sided Nursing Mnemonic (HEAD)

Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)

Hypertension- Complications Nursing Mnemonic (The 4 C’s)

Hypertension – Nursing care Nursing Mnemonic (DIURETIC)

Increase MAP Nursing Mnemonic (VAK)

Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)

Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)

Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)

Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)

Digestion & Absorption

Nutrition-related Diseases

CPR-BLS (Basic Life Support)

Advanced Cardiovascular Life Support (ACLS)

Pediatric Advanced Life Support (PALS)

Neonatal Resuscitation Program (NRP)

Prioritizing Assessments

Triage in the ER

Critical Incident Management

Aggressive & Violent Patients

Legal & Ethical Issues in ER

EMTALA & Transfers

Blunt Thoracic Trauma

Penetrating Thoracic Trauma

Blunt Abdominal Trauma

Penetrating Abdominal Trauma

Head Trauma & Traumatic Brain Injury

Massive Transfusion Protocol

Acute Coronary Syndrome (ACS)

Aneurysm & Dissection

Cardiopulmonary Arrest

Dysrhythmia Emergencies

Heart (Heart) Failure Exacerbation

Hypertensive Emergency

Arterial Pressure Monitoring

Rapid Sequence Intubation

Pulmonary Embolism

Acute Respiratory Distress

Ventilator Settings

Acute Confusion

Intracranial Hemorrhage

Increased Intracranial Pressure

Stroke (CVA) Management in the ER

Seizure Management in the ER

Sodium and Potassium Imbalance for Certified Emergency Nursing (CEN)