NSG 2317 Lecture 6: HA 6

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Know how to decide what to do first. 5-10% briefly touched on in class in textbook textbook if the apex is displaced, you then know that something may be wrong, like hypertrophy. Apex of heart 5th intercostal space (heart from 1 to 5th). Sitting between the right side of left side of the sternum and the right midclavicular line ~ Blood passively moves into the atrium (no valves). Nothing to stop the blood from being backed-up, if there are issues in the ventricles (like if you have bilateral lower extremity edema, the fluid is backing up from the right atrium). Similar thing with the left atrium and having edema/congestion in the lungs. Pain / tightness (and all the other opqrstu) Dyspnea / orthopnea / paroxysmal nocturnal dyspnea. Congestive heart failure when you lose these fluids, you stop urinating, so you retain more water, meaning your body has more fluids to push putting the heart under more stress. )

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