Lower Venous and ABI Flashcards
What does ABI stand for?
ankle brachial index 1
What does the ABI test consist of?
blood pressure of the brachials and ankles
What are the steps of an ABI test?
- obtain bilateral brachial BP
- obtain bilateral ankle BP
- record dopplers of PT arteries
- record dopplers of DP arteries
- calculate ABI
How do you calculate ABI?
ankle pressure / highest brachial pressure
What is considered normal for an ABI?
ankle pressure should be equal to or greater than the highest brachial pressure
What do you have to ask before you take BP?
Is it okay to take your BP in both arms? Have you ever had a massectomy, axillary lymph node dissesction, dialysis graft?
What is a normal ABI number?
greater than or equal to 1
What is considered minimal disease for ABI?
.9-1
What is considered moderate disease for ABI?
.5-.9
What is considered severe disease for ABI?
less than .5
What is considered critical disease or limb threatening?
less than .3
What angle does the doppler probe have to be at for ABI?
45-60 degrees
How much should you pump up the cuff?
160-180 mmHg, never higher than 200 and about 20 more than last audible signal
What position is the pt in for the venous exam?
reverse trendelenburg and supine, frog legged
What is the #1 assessment for DVT?
compressibility
What is the longest vein in the body?
greater saphenous v
What is the saphenofemoral junction?
where GSV empties into CFV, mickey mouse on U/S
What vein ascends the back of the lower leg and empties into the popliteal?
lesser saphenous v
When does blood flow up the leg towards the heart?
when pt exhales
When does blood stop flowing in LE?
when pt inhales
What is augmentation?
increase in venous flow caused by manual compression
What is the transverse protocol?
- EIV color
- CFV clip
- SFJ clip
- SFV prox clip
- SFV mid clip
- SFV dist clip
- POP clip
- GASTROCS clip
- LSV clip
- PTV clip
- PERONEALS clip
- GSV above knee clip
- GSV below knee clip
What is the long protocol?
- EIV color
- EIV augment
- CFV color
- CFV augment
- SFV color
- SFV augment
- POP color
- POP augment
- GSV color
- GSV augment
- PTV color
- PTV augment anterior vein
- PTV augment posterior vein