Digit Plethysmography and Pressures Flashcards

1
Q

capabilities

4

A

detection of arterial disease

end point detector

more reliable in case of atherosclerotic cond

differ fixed arterial disease from vasospasm

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2
Q

limitations

5

A

ambient temp sensitive

smoking causes vasoconstriction

improper positioning of devise

bandages

pt tremor

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3
Q

pt position

A

toe - supine

finger- pt sitting erect w/ arms resting on pillow in pt lap

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4
Q

toe cuff size

A

2.5-3cm

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5
Q

what is the end point detector in PPG

A

photocell

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6
Q

what is the paper speed for PPG

A

5 mm/sec

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7
Q

cuff is inflated to _____mmHg above highest brachial pressure

A

20-30 mmHg

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8
Q

what two different kinds of PPG tests are done with fingers

A

with and without cold stress

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9
Q

cuff size for fingers

A

2 - 2.5 cm

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10
Q

procedure for cold stress PPG test

toes or fingers

A

after resting study

immersion in cold water 3 min

waveforms + pressures immediately after min

waveforms + pressures 5min after

doc= skin color, and measurements

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11
Q

Organic or ______ disease is indicated by abnormal wf with Doppler, pressures, and PPG at _____ .

A

fixed

rest

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12
Q

functional or ________ disease has normal Doppler, pressures, PPG but will be abnormal after _________

A

intermittent

cold stress

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13
Q

Peaked pulse is unique to which disease process

describe the waveform

A

Raynaud’s phenomena

peak before high systolic peak

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14
Q

abnormal cold sensitivity is r/i if the amp fails to return to baseline in _____

A

> 5 minutes

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15
Q

FBI parameters

A

finger/ brachial index

.8-.9

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16
Q

TBI parameters

A

toe/ brachial index

.6-.8

17
Q

notes about TBI

2

A

toe ankle pressure index is not reliable w/ artificially high ankle pressures (atherosclerotic)

digital artery occlusion is marked by severely reduced pressure