Technique Flashcards

1
Q

place cuff _______ on extremity site, not encircling any bone

A

straight

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2
Q

should it be snug

A

yes

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3
Q

ideally the cuff bladder should be placed

A

over the artery

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4
Q

the bladder inflation should transmit pressure quickly into the tissue to

A

compress the artery

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5
Q

width of cuff should be about _____% greater than diameter of limb

A

20

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6
Q

four cuff method

A
brachial
high thigh
above the knee
below the knee
ankle
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7
Q

four cuff method size

A

12 x 40 cm with longer cuff bladders for thighs

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8
Q

three cuff method

A

brachial
one thigh cuff
below the knee
ankle

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9
Q

three cuff method size

A

12 x 40 cm, with exception of thigh cuff

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10
Q

difference between 4 cuff and 3

4 cuff

A

provide prox and distal pressure measurement but artifactually elevated BP are obtained at the HT ( > 30 mmHg than highest brachial)

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11
Q

difference between 4 cuff and 3

3 cuff

A

utilized one large thigh cuff (high on the thigh), providing a more accurate pressure reading

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12
Q

probe?

A

8 to 10 mhz

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13
Q

angle CW doppler

A

45-60

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14
Q

due to vessel angulation, probe angle behind the knee may be closer to ___ degree to skin

A

90

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15
Q

angle probe so blood flow moves

A

antegrade

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16
Q

using a hand held _______, segmental doppler pressures are obtained in

A

sphygomomanometer or an automatic cuff inflator

17
Q

Order of segmental pressures

A

brachial- use brachial a
ankle - use pta and dpa; peroneal if necessary
calf -PTA or DPA: that had the hight pressure
above the knee- same as calf may need to use popliteal a
high thigh- same as above knee
if one large thigh cuff used, protocol same as for calf

18
Q

when doing segmental pressures, Start at the ankle and move prox to eliminate

A

the possible underestimation of the systolic pressure measurement

19
Q

use the site from higher of two pedal doppler pressure to obtain the remainder of the segmental pressure in

A

leg beginning with the calf level

20
Q

complete cessation of blood flow is

A

required

21
Q

cuff inflated 20-30 mmHg beyond

A

last audible doppler arterial signal

22
Q

inflate the cuff 20-30 mmHg higher than

A

highest brachial pressure

23
Q

if pressure measurements must be repeated, the cuff should be fully deflated for about ____ prior to repeat inflatoin

A

minute

24
Q

the systolic pressure is recorded as that pressure at which the

A

first audible doppler arterial signal returns