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Author: Dr.Ajita A

Home > Articles posted by Author: Dr.Ajita A (Page 3)

Question bank Perfusion Technology

Posted on August 10, 2017August 27, 2017 by Dr.Ajita A
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Question Paper Perfusion Technology Aug 13 Feb 14 Aug 13 Feb 14 Jul 14 Advanced Questions Aug – 2013 I. [30] Hemodynamic aspects of cardio pulmonary Bypass. Cardiac Cycle. Cardioplegia. II. Write Notes on.. [40] Coronary Perfusion. Oxygen Toxicity. Biocompatible Material. Nervous control of heart. Priming solution. Pre cardio pulmonary Bypass chest list. Cerebral protection […]

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CPB in Pregnancy

Posted on July 29, 2017 by Dr.Ajita A
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➤ Avoid CPB if possible ➤ If possible perform in 2nd trimester ➤ Continuous FHR monitoring ➤ Avoid acidosis & low PaO2 ➤ Keep flow rates > 3 lit/min/m2 ➤ Maintain perfusion pressure above 65 mmhgbfor adequate flow to fetus ➤ Low HCT > 22% ➤ Turn patient to left 15-20*C to keep gravid uterus […]

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ECG-Practise Examples

Posted on July 29, 2017 by Dr.Ajita A
0

ECG example 1 Interpretation sinus rhythm,Heart Ratenearly 100/min. normal axis normal QRS complexes ST segment depression in V3V4. Sloping in lead I,Avl,V5V6 Diagnosis Anterolateral ischaemia.   ECG example 2 Three different ecg strips Interpretation Atrial fibrillation n and complete block. Second degree [2:1] block. Third degree block.   ECG example 3 Interpretation Second Degree Block […]

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Chest X Rays

Posted on July 29, 2017August 2, 2017 by Dr.Ajita A
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Practice Examples 1] Interpretation: Follow Standard Steps Mention In Tips Diary. Diagnosis Air Under Diaphragm. Right Hilar Lymphadenopathy.         2] Rt. Pneumothorax.

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CXR Interpretation

Posted on July 27, 2017August 27, 2017 by Dr.Ajita A
0

Quick interpretation steps for Chest X ray.  Chest x ray – Evaluation primarily done  in PA [postero anterior] view.P-First letter in view stands for the position of X ray tube and second letter for placement of Xray film-A. AP view- ICU pt.commonly taken. Cardiac evaluation -As heart is placed anteriorly film kept anteriorly and x […]

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ABG Interpritation

Posted on July 27, 2017August 2, 2017 by Dr.Ajita A
0

How To Interpret ABG? Basic Acid-Base Terminology Clinical terminology Criteria Normal pH 7.4 (7.35-7.45) Acidaemia pH< 7.35 Alkalaemia pH>7.45 Normal PaCO2 40 (35-45)mm of Hg Respiratory acidosis (failure) PaCO2>45 mm of Hg Respiratory alkalosis (hyperventilation) PaCO2<35 mm of Hg Normal HCO3 24(22-26)mEq/L Metabolic acidosis HCO3<22 mEq/L & low pH Metabolic alkalosis HCO3 >26mEq/L & high […]

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ECG Interpretation

Posted on July 26, 2017August 1, 2017 by Dr.Ajita A
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8-Step Method Interpreting a rhythm strip is a skill. Rhythm strip analysis requires a sequential and systematic approach the eight steps outlined here. Step 1: Determine the rhythm: To determine the heart’s atrial and ventricular rhythms, use either the paper-and-pencil methodor the caliper method. For atrial rhythm, measure the P-P intervals-the intervals between consecutive P […]

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Classifications

Posted on July 26, 2017August 5, 2017 by Dr.Ajita A
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Classifications to Remember  1. NYHA Classification   2.Canadian classification of Angina Canadian Cardiovascular Society grading of angina pectoris Grade Description Grade I Ordinary physical activity does not cause angina, such as walking and climbing stairs. Angina with strenuous or rapid or prolonged exertion at work or recreation. Grade II Slight limitation of ordinary activity. Walking […]

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Anatomy of Heart

Posted on June 30, 2017August 2, 2017 by Dr.Ajita A
0

Anatomy of heart- Four chambers 1.Rt.atrium 2.Rt.ventricle 3.Lt.atrium 4.Lt.ventricle Two great arteries- 1.Aorta 2.Pulmonary arteries Pericardium. 1.Parietal 2.Visceral Chambers are as following- Right  atrium : Chamber receives systemic venous drainage through SVC and IVC Coronary venous drainage through coronary sinus Important characteristics for identification: Limbus for fossa ovalis Wide based blunt ended Right sided atrial […]

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Myocardial Revascularisation

Posted on June 29, 2017August 2, 2017 by Dr.Ajita A
0

 Defination: The restoration of an adequate blood supply to a part of heart by means of a blood vessel graft [ aortocoronary bypass] or stenting the plaque site.  Anatomy of coronary arteries: Aortic root- Aortic root contains 3 cusps – Rt.coronary,Lt.coronary and non-coronary from first two cusps respective coronary arteries arises. Coronary arterial circulation- Rt coronary artery Arises from Rt sinus of valsalva of aortic root. Best seen in Lt anterior oblique view […]

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