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36 Cards in this Set

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Plethysmography measures changes in ________.

Blood volume

____ in volume = increase in amount of blood present

Increase


The use of plethsmography in assessing the deep venous system utilizes volume changes to determine:


1.


2..


1. Venous Capacitance


2. Venous Outflow



What is called: max amount of venous blood leg veins can hold?

Venous Capacitance


What are the 3 steps of venous capacitance?


1. drain deep venous system of blood


2. Obstruct venous return at the thigh


3. Measure the volume increase of venous blood as it re-fills the empty deep system









A system with out a thrombus will show a marked _____ in volume.

increase


A system fill with a clot (will/will not) drain in the first place?

will not, therefore not show much volume increase or change in volume.


What is called: emptying out the veins?

Venous Outflow

Opposite of capacitance

What measures the volume change of venous blood passing thru the deep system?

Venous Outflow


By allowing arterial flow into the limb but preventing it from flowing out, you will form a dam of venous blood, what is this called?

capacitance


In a limb w/o clot, when the gates of the dam are open blood will (quickly/cannot quickly) flow out of limb?

quickly


If there is a clot in the limb, blood (can/cannot) flow quickly out of the limb?

cannot flow quickly

T/F: even with collaterals blood cannot flow quickly out of limb?

True

Measurement of venous outflow time:


1. __ = normal


2. __ = abnormal


1. 3 seconds


2. >3 seconds



What are the 3 methods used for Venous Plethysmography?


1. Impedance plethysmography


2. Strain-gauge plethysmography


3. Air plethysmography





T/F: all 3 methods used for venous plethysmography all obtain the same information?

True



What info do all 3 methods of venous Plethysmography obtain?


1.


2..




1. Venous Capacitance


2. Venous Outflow



What is the supplies of plethysmography?


1. Strip chart recorder


2. Large occluding thigh cuff


3. Gauge specific to type of Plethysmography being utilized


Strip chart recorder, how long do you run the strip chart?
5 mm/sec

What test measures changes in the electrical resistance?
IPG


What does IPG measure changes in?

electrical resistance


What test is based on Ohm's Law?

IPG


T/F: Electrical impedance of the tissue in the calf will vary by the change in the amount of blood the tissues contain?
True


T/F: Blood is less conductive than tissue

False

An _____ in blood volume will reduce impedance of the tissue.

increase


More blood = (higher/lower) resistance

lower


T/F: changes in the impedance of the calf can be used to measure changes in blood volume?

True


IPG patient position: Calf should be above or below level of the heart?

above


What should the patient position be of IPG:

Trendelenburg position


What is the supplies needed for an IPG?


1. 4 electrodes


- 2 on lat calf (send current thru limb)


- 2 on med calf (records drop In voltage)


2. Strip chart recorder


3. Large thigh cuff










There are 3

What is the 1st step of the IPG?

drain leg and calibrate machine

How much do you inflate the large thigh cuff in IPG to occlude the V's?

50 mmHg

When cuff is inflated, this is reflected on strip chart as an ____?

up-swing


What is the max amount of pooled blood called?

Venous capacitance


Assess after how many minutes during an IPG after inflating cuff?

around 2 minutes

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