PLAX and PSAX Flashcards

1
Q

What is systole?

A

contraction of the heart

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2
Q

What is diastole?

A

relaxation of the heart, ventricles refill

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3
Q

Which is the arterial side of the heart?

A

left

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4
Q

Which is the venous side of the heart?

A

right

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5
Q

What is the function of the right side of the heart?

A

collects deoxygenated blood from body, pumps it to lungs to receive oxygen

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6
Q

What is the function of the left side of the heart?

A

collects oxygenated blood from lungs, pumps it to the body

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7
Q

What is the normal blood flow in the heart?

A

SVC/IVC -> RA -> tricuspid valve -> RV -> pulmonic valve -> pulmonary artery -> lungs -> pulmonary veins -> LA -> mitral valve -> LV -> AoV -> ascending aorta -> aortic arch -> thoracic aorta -> descending aorta -> body

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8
Q

What are the branches of the aortic arch?

A

Brachiocephalic aka innominate, left CCA, left subclavian

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9
Q

What is CW doppler?

A

sends out signal and listens for blood flow anywhere along cursor, averages all blood flow velocities

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10
Q

What is PW doppler?

A

sends out signal and listen for blood flow in specific location, accurate, precise velocities

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11
Q

What is M-Mode?

A

probe sends out signal then detects any motion that the cursor crosses

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12
Q

What is the pt position for parasternal?

A

rolled up on their left side with left up under pillow

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13
Q

Where is the probe marker for PLAX?

A

11

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14
Q

What is the PLAX/RVIT protocol?

A
  1. 2D PLAX clip
  2. PLAX diastolic image w measurements (IVS, LV, RV, post LV wall)
  3. PLAX systolic image w measurements (LV, LA)
  4. Zoom LVOT and aorta clip
  5. Zoom MV/AoV clip
  6. Color MV/AoV clip
  7. M-mode MV image
  8. M-mode AoV image
  9. M-mode LV image w measurements (IVS, LV, post wall, systolic LV)
  10. 2D RVIT clip
  11. Color RVIT clip
  12. CW RVIT image
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15
Q

Where is the marker for PSAX?

A

1

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16
Q

What are the levels for PSAX?

A

aorta/base level
mitral level
papillary level
apex level

17
Q

What is the full PSAX protocol?

A
  1. 2D clip at apex
  2. 2D clip at papillary
  3. 2D clip at mitral valve
  4. 2D clip at AoV
  5. Zoom AoV clip
  6. Color AoV clip
  7. 2D TV clip
  8. Color TV clip
  9. CW doppler TV lip
  10. 2D PV clip
  11. Color PV clip
  12. PW PV image