HEART SOUNDS ASSESSMENT FOR NURSES MURUGESH.pptx

IT IS AN BRIEF DESCRIPTION ABOUT SIMPLE ASSESMENT OF HEART , ANATOMY & PHYSIOLOGY OF HEART ,HEART SOUNDS, NORMAL & ABNORMAL SOUNDS..ESPECIALLY MOST USEFULL TO NURSES...

1. HEART SOUNDS ASSESSMENT FOR NURSES PREPARED BY MURUGESH H J ICU 02 KING FAHD CENTRAL HOSPITAL JIZAN SAUDI ARABIA

2. INTRODUCTION .. as we know heart is structural & key element for blood circulation , each beat will pump blood to whole body , maintains whole body blood circulation …. when blood is flowing in heart BECAUSE OF CLOSURE OF THE VALVES , DIFFERENT SOUNDS WILL BE PRODUCED THESE ARE THE HEART SOUNDS”.. (   four main heart valve areas: the aortic, pulmonary, tricuspid and mitral valve areas) LETS BEGIN OUR DISCUSSION …

3. Types Of Heart Sounds Types Of Heart Sounds S1 – “ lub ” caused by the closing of the AV valves. S2 – “dub” caused by the closing of semilunar valves. S3 – linked with flow of blood into the ventricles. S4 – linked with atrial contraction .

4. What are S1 S2 S3 and S4 heart sounds ? What are S1 S2 S3 and S4 heart sounds? In a healthy adult, the heart makes two sounds, commonly described as ' lub ' and 'dub. ' The third and fourth sounds may be heard in some healthy people, but can indicate impairment of the heart function . S1 and S2 are high-pitched we can auscultate in the Bell part of the stethoscopre and S3 and S4 are low-pitched sounds usually diaphragm portion

5. What do S3 AND S4 sounds indicate ? The S3 heart sound is a low-pitched sound that can hear when blood rushes rapidly from the heart's atrium into the ventricle Sometimes, particularly in children and athletes, it is a typical sound we can hear , but in normal persons it is a classical indicator for CHF .. A S4 heart sound can be an important sign of   diastolic heart failure or active ischemia  and is rarely a normal finding . Diastolic heart failure frequently results from severe left ventricular hypertrophy , or LVH , resulting in impaired relaxation (compliance) of the LV. In this setting, a S4 is often heard.

6. MURMUR SOUND… A heart murmur is a blowing, whooshing, or rasping sound heard during a heartbeat . The sound is caused by turbulent (rough) blood flow through the heart valves or near the heart ….. Heart murmurs can be present at birth (congenital) or develop later in life (acquired). Some heart murmurs are harmless (innocent). An innocent heart murmur is not a sign of heart disease and doesn't need treatment. Other heart murmurs may be a sign of a serious heart condition. Tests are needed to check the heart and heart valves. Heart murmur treatment depends on the cause Types of murmurs include : Systolic murmur . This happens during a heart muscle contraction. ... Diastolic murmur . This happens during heart muscle relaxation between beats. ... Continuous murmur . This happens throughout the cardiac cycle.

7. HEART SOUND DEMONSTRATION

8. ABNORMAL HEART SOUNDS ..S3 S4 MURMURS….

9. NURSING PROCEDRE Ask the verbal consent from the patient if conscious, follow patient privacy start Examination with assessment or observation , auscultation … Do hand hygiene , clean stethoscope with alcohol swab before & after usage while assessing for low pitched sounds use Diaphragm part of stethoscope & for High pitched sounds use Bell of the stethoscope ..

10. NURSING PROCEDRE Start from A, P, T, M Manner ( aortic, pulmonic, tricuspid & mitral valve manner ) If you any confusion call & reconfirm the findings with your seniors .. If any abnormality detected means inform immediately to the doctors Document the findings & procedure in your notes Say thanks to your patient , conclude the procedure..

11. THANKS TO ALL