Arterial Hemodynamis Class 8 Unit 16 COPY COPY Flashcards

1
Q

Systolic velocity is ________ than diastolic velocity

A

Higher

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2
Q

Why is systolic velocity higher than diastolic velocity?

A

Because of the heart pumping in systole and flowing moving on it’s own momentum in diastole .

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3
Q

Does systolic velocity increase or decrease, as the blood flows to the ankles?

A

It decreases.

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4
Q

When viewing in ultrasound of the peripheral arterial flow, what characteristic is usually found within the waveform?

A

Peripheral arterial flow is pulsatile, due to the pumping of the heart.

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5
Q

Doppler velocity waveforms demonstrate what?

A

Demonstrate velocity changes, throughout the cardiac cycle

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6
Q

In the peripheral arteries (le and ue), how is the velocity pattern demonstrated on doppler?

A

Velocity pattern is forward in systole, with a sharp upstroke, and narrow peak, followed by a short reversal of flow.

(Looks more triaphasic )

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7
Q

In the normal le and ue, flow reversal is primarily due to what?

A

The resistance of the distal vascular bed that the artery is feeding.

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8
Q

In normal le and ue arteries, what is the resistance controlled by?

A

Arterioles

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9
Q

During exercise, what happens to the arterioles?

A

Arterioles open, which causes the resistance to decrease, and increases the flow needed for the muscles to work.

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10
Q

What determines the diastolic portion of the velocity waveform?

A

Resistance of distal vascular bed

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11
Q

Is there a high or low resistance, in the vessels feeding the brain, kidney, and liver?

A

Low resistance

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12
Q

Peripheral arteries normally _________ resistance at rest.

A

High

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13
Q

Why do arterioles open?

A

to reduce resistance and increase flow as needed.

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14
Q

When do arterioles open?

A
  • During a proximal obstruction in the artery.
  • inflammation
  • exercise
  • anything that may cause decreased peripheral resistance.
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15
Q

Normal mean velocities in the peripheral arteries

These are not criteria, just average velocities

A

Come back to this and put the chart

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16
Q

When do velocities usually change in the peripheral arteries?

A

Usually around the stenosis and occlusion

17
Q

What does peri-stenosis mean?

A

Around the stenosis