chapter 5 Flashcards
capabilites of doppler segmental pressures? (4)
identifies presence and severity of AOD
provides baseline
evaluates treatment plan
results combined with waveforms
limitations of doppler segmental pressures? (5)
can only identify general location can falsely elevate pressures cuff too narrow=elevated pressure multilevel disease can't take over a stent
how should you prep and position the patient?
patient should rest for 20 min prior to exam
same as waveform prep
what probe should be used?
8-10 MHz
pressures may be falsely elevated if
cuffs are too loose
steps for obtaining ABI
- obtain bilateral brachial pressures
- use highest pressure for denominator
- obtain PTA and DPA
- use highest ankle pressure for numerator
incompressible vessels are usually found in
diabetic and renal failure patients
incompressible vessels have a _____ ABI
> 1.3-1.5
vertically a decrease of ______ indicates disease
30 mmHg
horizontally a decrease of _____ indicates diseae
20-30 mmHg or greater
compare 3 cuff and 4 cuff technique in relation to thigh pressures
3 cuff–accurate thigh pressure
4 cuff–falsely elevated thigh pressure
compare 3 cuff and 4 cuff technique in relation to proximal and distal thigh disease
3 cuff–cannot distinguish between prox and distal thigh disease
4 cuff–can distinguish between prox and distal thigh disease
compare 3 cuff and 4 cuff technique in relation to thigh and brachial pressure
3 cuff–thigh similar to brachial
4 cuff–high thigh 30mmHg greater than highest brachial