chapter 5 Flashcards

1
Q

capabilites of doppler segmental pressures? (4)

A

identifies presence and severity of AOD
provides baseline
evaluates treatment plan
results combined with waveforms

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2
Q

limitations of doppler segmental pressures? (5)

A
can only identify general location
can falsely elevate pressures
cuff too narrow=elevated pressure
multilevel disease
can't take over a stent
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3
Q

how should you prep and position the patient?

A

patient should rest for 20 min prior to exam

same as waveform prep

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4
Q

what probe should be used?

A

8-10 MHz

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5
Q

pressures may be falsely elevated if

A

cuffs are too loose

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6
Q

steps for obtaining ABI

A
  1. obtain bilateral brachial pressures
  2. use highest pressure for denominator
  3. obtain PTA and DPA
  4. use highest ankle pressure for numerator
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7
Q

incompressible vessels are usually found in

A

diabetic and renal failure patients

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8
Q

incompressible vessels have a _____ ABI

A

> 1.3-1.5

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9
Q

vertically a decrease of ______ indicates disease

A

30 mmHg

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10
Q

horizontally a decrease of _____ indicates diseae

A

20-30 mmHg or greater

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11
Q

compare 3 cuff and 4 cuff technique in relation to thigh pressures

A

3 cuff–accurate thigh pressure

4 cuff–falsely elevated thigh pressure

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12
Q

compare 3 cuff and 4 cuff technique in relation to proximal and distal thigh disease

A

3 cuff–cannot distinguish between prox and distal thigh disease

4 cuff–can distinguish between prox and distal thigh disease

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13
Q

compare 3 cuff and 4 cuff technique in relation to thigh and brachial pressure

A

3 cuff–thigh similar to brachial

4 cuff–high thigh 30mmHg greater than highest brachial

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