What is PMI and does everyone need to pay it?
PMI, or private mortgage insurance, is only required when a homebuyer cannot afford a 20% down payment, but there are some ways to get around it. What Is PMI and Does Everyone Need to Pay It? Source link
What is PMI and how is it calculated?
To calculate mortgage insurance (PMI), identify the purchase price of the home and the loan-to-value ratio by taking the amount of money you borrowed on the loan and dividing it by the value of your property.
How to get rid of PMI?
There are two main ways to get rid of PMI, each with its own pros and cons. The most obvious is just to keep chipping away at paying your mortgage. It may take several years, but you will get there in due time without stressing your finances too much. Making extra mortgage payments will help you get there sooner, too.
What does PMI stand for?
The Purchasing Managers' Index (PMI) is an index of the prevailing direction of economic trends in the manufacturing and service sectors. It consists of a diffusion index that summarizes whether market conditions, as viewed by purchasing managers, are expanding, staying the same, or contracting.
Where is the point of maximal impulse normally located?
Use the palm of your hand to feel the chest wall for the "Point of Maximal Impulse" (PMI), which is usually found at the apex of the heart. This apical pulse is generally located in the 5th intercostal space, about 7-9 cm (the width of your palm) to the left of the midline.
Where is the PMI point of maximal impulse normally located quizlet?
Also called the PMI (point of maximal impulse). Located at the left border of the heart and is normally found in ICS5, 7-9cm lateral to the midsternal line; typically at or just medial to the midclavicular line.
Is PMI same as apical pulse?
Measuring the apical pulse The doctor will place a stethoscope on the left side of the breastbone, over the apex of the heart. They can also feel the apical pulse at the point of maximal impulse (PMI). The PMI is in the space between the fifth and sixth ribs on the left side of the body.
Where is apical impulse visible?
Apex Impulse. The normal apex impulse is less than 3 cm in diameter, localized within the midclavicular line, and brief in duration, that is, lasts less than two-thirds of systole and is palpated as a tap upon the fingertip.
In which location would the nurse find the point of maximal impulse PMI of the heart?
The point of maximal impulse (PMI) is located in the mitral area, which is the apex of the heart, and can be easily identified in most patients. This is the usual location at which to begin auscultation of the heart.
What landmark must be located in getting the PMI quizlet?
Where is the PMI located? -The PMI is located at the apex of the heart, which is at the fifth intercostal at the midclavicular line, best accessed from the right side of the patient. -By gently placing the palmar surface of the fingers on the chest, the nurse can feel the small pulsations.
Where can the normal PMI be felt and sometimes seen?
Where can the normal PMI be felt and sometimes seen? The point of maximal impact (PMI) can be felt and sometimes seen at the intersection of the fifth intercostal space and the midclavicular line.
How do you assess PMI on the heart?
Locate the PMI in the fifth intercostal space in the mid-clavicular line by counting down from the second intercostal space adjacent to the angle of Louis. Palpate with your first two fingers. If this cannot be palpated, ask the patient to lie on his/her left side.
What intercostal space is the apex of the heart?
fifth intercostal spaceThe apex (the most inferior, anterior, and lateral part as the heart lies in situ) is located on the midclavicular line, in the fifth intercostal space. It is formed by the left ventricle.
Where is the apical pulse located quizlet?
The apical pulse is generally best heard at the PMI in the 5th intercostal space at the midclavicular line. The PMI is located over the apex of the heart.
At which location is apical pulse taken quizlet?
Pulse taken with stethoscope at the apex of the heart.
What does PMI displaced laterally mean?
If the ventricle becomes dilated, most commonly as the result of past infarcts and always associated with ventricular dysfunction, the PMI is displaced laterally. In cases of significant enlargement, the PMI will be located near the axilla.
What can normally be heard in the Midclavicular line of the fifth intercostal space?
A left-sided S3 is best heard in the left lateral decubitus position and at the apex of the heart, which is normally located in the 5th left intercostal space at the midclavicular line. A right-sided S3 is best heard at the lower left sternal border.
What is the recommended number of measurements that should be taken to confirm the outside measuring faces of the slide caliper are parallel?
Use the 1 inch gage block to take 3 readings taken between the outside measuring surfaces. Confirming that the outside measuring surfaces on the English dial are parallel.
Why should you put the steel rule adjacent to the object being measured rather than laying flat on the object?
Why should you put the steel ruler adjacent to the flat object being measured rather than laying flat on the object? To reduce parallax error. When calipers are set to the work what should the user take care not to do? The user should not bring the points into contact without excessive pressure.
Where should the examiner stand for PMI?
The examiner should stand on the right side of the patient, with the bed at a level comfortable for the examiner. Palpation for the PMI is most easily performed with the patient in a sitting position.
Which line of the chest should the examiner's fingertips be applied to?
Only the examiner's fingertips should be applied to the patient's chest in the fifth intercostal space, midclavicular line , because they are the most sensitive for assessing localized motion. The PMI should be noted. This technique is demonstrated in Figure 14-27.
Where should the examiner move his or her fingertips?
If the apical impulse is not felt, the examiner should move his or her fingertips in the area of the cardiac apex. The PMI is usually within 10 cm of the midsternal line and is no larger than 2 to 3 cm in diameter.
Can PMI be felt in sitting position?
The PMI is felt in approximately 70% of normal individuals while they are sitting. If it cannot be felt in the sitting position, the patient should be reevaluated while supine and in the left lateral decubitus position.
