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1. BY: Cesar Romo Medical Procedures

2. Doppler Ultrasound Used to measure the blood flow and blood pressure of a patient Doppler ultrasound less invasive than other tests Arteriography and venography are more invasive tests

3. How it Works Doppler ultrasound uses sound-wave echoes that reflect off tissue and organs to evaluate blood as it flows through blood vessels Measures how fast blood flows by measuring its frequency

4. Diagnosing The Doppler ultrasound can help diagnose the following conditions Blood cots Venous insufficiency Heart valve deficiency Congenital heart disease Obstructed artery Peripheral artery disease Aneurysms Stenosis of an artery

5. Holter Monitor Also Known as a portable ECG (Electrocardiography) Used to asses the pulse and heart of a patient during regular activities Patients who have had a heart attack are asked to wear a Holter monitor

6. How it Works Electrode patches are placed around the patches chest Electrodes are attached to a small recorder and must be worn a few hours or days Each case is unique so the time the Holter monitor is worn is different

8. Used to diagnose

9. Atrial fibrillation

10. Multifiocal atrialtachycardia

11. Palpitations

12. Ventricular Tachycardia

14. Types of Thrombolytic Therapy There are various types of thrombolytic drugs Lanoteplase Reteplase Staphylokinase Streptokinase (SK) Tenecteplase Urokinase Tissue plasminogen activator (t-PA)

15. Exceptions to Thrombolytic Therapy Thrombolytic Therapy will not be given if the patient has the had or has the following A recent head injury Bleeding problem Bleeding ulcers Pregnancy Surgery Taken blood thinning medications such as Coumadin Trauma Uncontrolled high blood pressure