Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

CardioPulmoaryPT1 > COMPS: CV Dx Tests and Procedures: Exam 1 > Flashcards

COMPS: CV Dx Tests and Procedures: Exam 1 Flashcards

(43 cards)

Start Studying
1
Q

Noninvasive Dx test:

EKG

the 12 lead EKG

what is it

A

<5 mins monitoring rhythm @ rest

GIVES MORE INFO ON RHYTHM!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Electrocardiographic/EKG monitor

Obtains what:

A
  • rate
  • timing/strength of electric impulses
  • normal rhythm vs. arrythmias
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Noninvasive tests:

Holter/Telemetry

what is it?

A
  • continuous >24 hr EKG monitoring of pts heart rhythm while pt completes ADLs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Holter/Telemetry

Obtains:

A
  • SAME INFO:
    • RATE
    • timing/strength of electric impulses
    • normal rhythm vs arrythmias
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Holter/Telemetry is ESSENTIAL to:

A

Dx and Med mgmt of episodes of cardiac arrythmias and sx’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Noninvasive Tests:

ECHO

Echocardiography

what is it?

A
  • US
    • uses pulses of reflected high freq sound waves and receives their echo
      • ​evals functioning of heart
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

ECHO

info derived:

A
  • size of ventricular cavity
  • thickness of walls
  • integrity of interatrial and intraventricular septa
  • functioning of valves
  • motions of indiv. segments of ventricular wall
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

ECHO

Quantifies what volumes?

A
  • Left vent. SV
  • Ejection Fraction (EF)
    • ​EF== SV/EDV
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

This type of ECHO has improved view of heart AND mediastinum

A

Transesophageal ECHO

TEE

US device goes INTO esophagus

*if you want to see BACK of heart *

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Noninvasive dx tests:

Cardiac CT scan

computed tomography

used to dx:

A
  • masses in CV system
  • aortic aneurysms
  • pericardial thickening

*uses multiple xray angles*

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

NONinvasive dx tests:

MRI

magnetic resonance imaging

used to Eval:

A
  • congenital morphology or malformations (born w/)
  • anatomy
  • cardiac blood flow of coronary aa’s
  • myocardial contractility
    • ​masses
    • thrombi
    • valvular disease

*NOTE: <2-4yo DO NOT USE!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

NONINVASIVE Dx tests :

Exercise test/Exercise Stress test

involves what ?

A
  • systematically AND progressively INCing VO2 demand to eval resp’s w/ EKG readings

*NOTE: used if @ risk for MI PRIOR to sx—-Uncle Barry!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Ex test/Ex Stress Tests

prognostic tool for ….

Used for…

A

MAX exercise testing

  • dx AND mgmt coronary artery disease (CAD)
  • GREATER Sn and Sp in MALES >40yo vs. females
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Noninvasive Dx tests:

Pharmacologicl Stress Testing

when is this used?

A

when pt is unable to perform upright ex. on TM or cycle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Pharmacological stress testing uses injection of what to induce physio. stress

A

pharmacological agent

*SNS NT’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Who would you use pharmacological stress test on?

A

med. fragile

immobile/non-ambulatory

fall risk pt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Pts demo’ing life-threatening arrythmias on EKG/Holter monitor may be referred to this……

A

EPS

Electrophysiological study

noninvasive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

INVASIVE dx tests:

Cardiac Catheterization/Coronary Angiography

same thing

Indications?

Study These Flashcards
A
  • cardiac arrest OR vent. fibrillation
  • pulm. edema
  • angina w/ diff. medical mgmt
  • job descript. mandate
  • sig. DEC in ex. tolerance
19
Q

Cardiac Catheterization/Coronary Angiography

indicated for sig. DEC in ex. tolerance

evident by what?

WHY?

Study These Flashcards
A
  • DROP in SBP w/ exertion
  • WORSENING stress test
  • sx’s
    • pallor, mental confuse
  • angina
  • ST changes on EKG
  • L. VENT EF <35%
    • normal= 60-70%
  • If phys. needs it for more conclusive dx
20
Q

Procedure for Cardiac Catheterization

Study These Flashcards
A
  • catheter into CV system
    • measure pressures OR perform angiography
  • Interventional Radiology
  • Cath into brachial aa OR femoral aa
21
Q

Per MD order w/ cardiac catheterization

pt needs what?

Study These Flashcards
A

1-6hrs of bedrest

per MD!!!

22
Q

WHO reviews cardiac cath films

23
Q

Cardiac cath/angiography

what is used to get EDV

Study These Flashcards
A

Vein is used to get EDV

24
Q

cardiac cath/angiography

25
Noninvasive Vascular tests: **Abdominal US** **indications?**
* Descending aortic aneurysms and dissections (aneurysm burst) NOTE: **only checks BELOW heart**
26
NONinvasive Vascular tests: ## Footnote **Vascular or Venous US's** **+ indicated**
DEEP VEIN THROMBOPHLEBITIS DVT
27
GOLD STANDARD screening for **DVT**
Vascular or Venous US
28
Impression for Vascular or Venous US
* Veins/aa's visualized * **Presence or absence of clots**
29
NONinvasive Vascular tests: **Ankle-Brachial Index** **ABI** what are we looking for?
PAD
30
In a nutshell.... What is ABI explaining?
How much LESS blood is getting to **toes/feet** compared to **arm (UE)**
31
ABI measurement 1.0-1.40
* **Sx's** * NONE * **Clinical presentation** * **​**NORMAL
32
ABI Measurement: .5-.9
* **Symptoms:** * **​**Claudication * supply not meeting demand * **Clinical present:** * **​**pain in calf w/ ambulation
33
ABI measurement .2-.5
* **Sx's** * **​**critical limb ischemia * **Clinical present** * **​**atrophic changes * rest pain * wounds
34
ABI measure: \<0.2
* **Sx's** * **​**SEVERE ischemia * **Clinical presentation** * **​**gangrene/severe necrosis
35
ABI measure: \> 1.40 **====\> PAD**
* **sx's** * **​**Rigid aa's * **Clinical present:** * **​**PAD
36
NONinvasive Vascular tests: **Rubor of Dependency** + test indicates what?
* Arterial insuff. * **PAD**
37
Rubor of Dependency noninvasive Vascular test looking for PAD **Arterial test!!** **How to do it?**
* place client supine and observe feet * elevate leg to 45degs (above heart) * **foot may/may not become pale here** * bring left foot to **dependent pos.** sitting EOB w/ leg on floor OR dangling
38
Rubor of Dependency + vs. - resonse
* **(-) Normal response:** * **​**rapid pink flush in the feet/ no change in color * **(+) Arterial insuff.:** * **​**demo a **deep red color (rubor)** after 30s in dependent pos. * **Reactive hyperemia** ## Footnote **\*NOTE: good test to do if pt has not seen Dr. or cardiologist**
39
Noninvasive Vascular tests: **Homan's Sign** **+ indicates what?**
DVT
40
NONinvasive Vascular tests: ## Footnote **Homan's sign**
* pain in **upper calf** w/ **forced ankle DF** * **​50% chance you have DVT** * **BASIC screen. tool for DVT** * **​50% Sp** * **HIGH false pos.**
41
Noninvasive Vascular tests: **Claudication Time** + quantifies
SEVERITY of claudication
42
Noninvasive Vascular tests: ## Footnote **Claudication time**
* pt ambulates on TM or flat surf. **until subjective claudication occurs** * **DOCUMENTING:** * **​**TIME or DIST. ambulated @ **onset/beginning of claudication**
43
Medical Chart review: or
PT consult

CardioPulmoaryPT1 (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions