PT Tests And Measures 5 Flashcards
Absolute indications to stop a stress test:
Drop in SBP
Drop in SBP greater than 10 mm Hg from baseline despite increase in workload with other evidence of ischemia
Absolute indications to stop a stress test:
Angina
Moderately severe (3/4)
Absolute indications to stop a stress test:
ST segment
ST elevation 1.0 mm without diagnostic Q waves
Absolute indications to stop a stress test:
All
- Drop in SBP greater than 10
- Moderately severe angina
- Increasing nervous system sx
- Signs of poor perfusion
- Sustained v-tach
- 1.0 mm ST elevation without dx Q waves
Negative stress test is indicative of
Low probability of CAD
Positive stress test =
High probability of CAD
(+) Homan’s sign
Pain in calf or popliteal space
Percussion: sound elicited by percussion of the thigh muscles
In the upper lung, suggests neoplasm, atelectasis, or consolidation of the lung
Flat or dull
Percussion: percussion sound from the normal air-filled lung
Resonance
Percussion: hollow sound vaguely resembling a drumbeat
Tympany
Tympany occurs almost exclusively with a
Pneumothorax
Intermediate sound between resonance and tympany
Emitted by emphysematous lung
Suggests emphysema or pneumothorax
Hyperresonance
Normal infant HR
100-130 bpm
Normal child HR
80-100 bpm
Normal adult HR
60-100 bpm
Characterized by decreased expiratory flows
Obstructive ventilatory impairment
Primary indicator of an obstructive impairment
FEV/FVC less than 70%
Pulse amplitude: 3+
Large or bounding pulsation
Pulse amplitude: 2+
Normal or average pulsation
Pulse amplitude: 1
Small or reduced pulsation
Pulse amplitude: 0
Absence of pulsation
Characterized by reduced lung volumes (total lung capacity, FVC, FEV) and relatively normal expiratory flow rates
Restrictive ventilatory impairment
Restrictive ventilatory impairment is inferred from spirometers when ____ is reduced and FEV/FCV is
FVC reduced
FEV/FCV Normal or over 80%
Restrictive ventilatory impairment arises from
- interstitial lung disease
- pleural diseases
- chest wall deformities
- obesity
- pregnancy
- neuromuscular disease
- tumor