two: first S1 lub for the AV and second Dub for the semilunar valves.
applying leads for ECG cardiopulmonary resuscitation listening to heart sounds
To FEEL for the apical pulse, the "equipment" required is either the fingers and or palm of the hand and a stopwatch or watch with a second hand to count the apical rate. The cardiac apical impulse or point of maximum impulse (PMI) is located along the mid-claviclar line approx. 7-9 cm (about 3") left of the sternum within the 5th intercostal rib cage space just under the left breast. As for LISTENING to the apical pulse, one needs to emply the use of a stethoscope in order to auscultate the heart beat. The chestpiece of the stethoscope should be applied to the bare skin directly upon the PMI where heart sounds are the loudest.
Such questions will continue to come from senior doctors. When you listen some abnormal heart sounds, you should go for ecocardiogram of the patient. With Doppler study, you will get complete information of the defects and blood flow of the heart. You have to listen heart sounds very routinely to know the 'normal' heart sounds. There is no short cut for the same.
The closure of mitral and tricuspid valves causes the first heart sound. The second heart sound is produced by the closure of semilunar valves (pulmonic and aortic valves).
The apical pulse is taken when the patient is lying or sitting. A stethoscope is used to listen to the heart and placed at the 5th intercostal space (between ribs on left side of body). The beats are counted for a full minute and recorded. A radial pulse is taken by feeling (palpating) for the pulse on either wrist, just below the thumb (in the soft spot). The beats are counted for 30 seconds, then doubled. If the beats are irregular, they are counted for 60 seconds. The pulse is recorded as beats per minute: BPM An apical-radial pulse is when two nurses record each at the same time. The difference is called the "pulse deficit."
No, a sphygmomanometer is not used to take the apical pulse. Instead, it is a device used to measure blood pressure by determining the pressure in the arteries. The apical pulse is measured by listening to the heart sounds at the apex of the heart, usually with a stethoscope.
The apical beat can best be heard at the apex of the heart, which is located in the fifth intercostal space at the midclavicular line. This is where the left ventricle is closest to the chest wall, making it easier to listen to the heart sounds.
Listening to a patients chest - heart & lung sounds
the heart
to the left of the subclavian at the 2nd and 3rd intercostal space
apical pulse is actually the heartbeat
Apical pulse is typically measured by using auscultation, which involves listening to the heartbeat with a stethoscope placed over the apex of the heart. This method allows healthcare providers to accurately assess the heart rate and rhythm. Palpation can also be used to locate the apical pulse, but auscultation is more precise for determining the actual heartbeat.
applying leads for ECG cardiopulmonary resuscitation listening to heart sounds
To FEEL for the apical pulse, the "equipment" required is either the fingers and or palm of the hand and a stopwatch or watch with a second hand to count the apical rate. The cardiac apical impulse or point of maximum impulse (PMI) is located along the mid-claviclar line approx. 7-9 cm (about 3") left of the sternum within the 5th intercostal rib cage space just under the left breast. As for LISTENING to the apical pulse, one needs to emply the use of a stethoscope in order to auscultate the heart beat. The chestpiece of the stethoscope should be applied to the bare skin directly upon the PMI where heart sounds are the loudest.
Such questions will continue to come from senior doctors. When you listen some abnormal heart sounds, you should go for ecocardiogram of the patient. With Doppler study, you will get complete information of the defects and blood flow of the heart. You have to listen heart sounds very routinely to know the 'normal' heart sounds. There is no short cut for the same.
An instrument used in auscultation for examining the organs of the chest, as the heart and lungs, by conveying to the ear of the examiner the sounds produced in the thorax., To auscultate, or examine, with a stethoscope.
The pulse taken at the apex of the heart using a stethoscope is called an apical pulse.