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 […]
Continue ReadingCPB in Pregnancy
➤ 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 […]
Continue ReadingECG-Practise Examples
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 […]
Continue ReadingChest X Rays
Practice Examples 1] Interpretation: Follow Standard Steps Mention In Tips Diary. Diagnosis Air Under Diaphragm. Right Hilar Lymphadenopathy. 2] Rt. Pneumothorax.
Continue ReadingCXR Interpretation
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 […]
Continue ReadingABG Interpritation
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 […]
Continue ReadingECG Interpretation
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 […]
Continue ReadingClassifications
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 […]
Continue ReadingAnatomy of Heart
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 […]
Continue ReadingMyocardial Revascularisation
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 […]
Continue Reading