Heard a heart murmur

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ruby_jane, BSN, RN

3,142 Posts

Specializes in ICU/community health/school nursing.

We need a @Davey Do graphic - the innocent murmur versus the guilty murmur....

Davey Do

10,476 Posts

Specializes in Psych (25 years), Medical (15 years).
2 hours ago, ruby_jane said:

We need a Davey Do graphic - the innocent murmur versus the guilty murmur....

Thank you, ruby jane, I enjoy creating graphics to assist my sistren and brethren in understanding the difference between innocent and guilty murmurs.

Bear in mind that these are merely interpretations, but with professionals like nursekoll who called in a suspect, someday we may be able to identify and deal with all guilty murmurs!

murmurs.png.b42895b4a8c2357be981f5c4a38f2639.png

Home Health Columnist / Guide

NRSKarenRN, BSN, RN

10 Articles; 18,299 Posts

Specializes in Vents, Telemetry, Home Care, Home infusion.

Good info from CHOP: Children's Hospital of Philadelphia

Symptoms that Might Indicate a Heart Problem

OldDude

1 Article; 4,787 Posts

Specializes in Pediatrics Retired.
1 hour ago, Davey Do said:

Thank you, ruby jane, I enjoy creating graphics to assist my sistren and brethren in understanding the difference between innocent and guilty murmurs.

Bear in mind that these are merely interpretations, but with professionals like nursekoll who called in a suspect, someday we may be able to identify and deal with all guilty murmurs!

murmurs.png.b42895b4a8c2357be981f5c4a38f2639.png

Of course...all murmurs are innocent until proven guilty.

Specializes in OB.

So interesting to learn that a murmur is more pronounced or transient when a child is sick!

Specializes in School nurse.
21 hours ago, rnsrgr8t said:

Trust your assessment skills!

^ this right here is the BEST summary of what school nursing really is

NutmeggeRN, BSN

2 Articles; 4,621 Posts

Specializes in kids.

So, think about it this way, what if you heard what you heard, did NOT report it, and the kid has a medical mevent...how do you explain that??

CampyCamp, RN

259 Posts

Fever is known to produce innocent murmurs because it increases cardiac output- blood rushing faster through the heart produces turbulence (the murmur) even though the structures are normal. It would have been nice if the PCP had told the family that so they understood why something was heard once and not again.

ruby_jane, BSN, RN

3,142 Posts

Specializes in ICU/community health/school nursing.
37 minutes ago, CampyCamp said:

Fever is known to produce innocent murmurs because it increases cardiac output- blood rushing faster through the heart produces turbulence (the murmur) even though the structures are normal. It would have been nice if the PCP had told the family that so they understood why something was heard once and not again.

And I learned a thing today! Thank you.

Wuzzie

5,116 Posts

42 minutes ago, CampyCamp said:

It would have been nice if the PCP had told the family that so they understood why something was heard once and not again.

But what would be the fun in that? Now the parents think the PCP is super smart and the nurse doesn't know what she's doing. ?

OldDude

1 Article; 4,787 Posts

Specializes in Pediatrics Retired.

Here's another one...one of our previous students is the daughter of a Paramedic who worked for the local ambulance service; experienced guy. I don't recall the reason I was listening to his daughter's heart one day but I heard a definite regular irregularity. I told her dad about it who came over and also listened and identified exactly what I was hearing...took her to MD, didn't hear anything, Dad insisted on EKG, nothing...go figure...

OldDude

1 Article; 4,787 Posts

Specializes in Pediatrics Retired.
3 minutes ago, Wuzzie said:

But what would be the fun in that? Now the parents think the PCP is super smart and the nurse doesn't know what she's doing. ?

HAHA, you nailed it. The MD offices revel in in this practice!!

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