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Hemodynamics notes
Stack #4453752
| Term | Definition |
|---|---|
| The ability of the veins to accommodate large changes in volume is called | Compliance |
| T/F With low intraluminal pressure the vein will be elliptical shaped | True |
| What is sometimes referred to as the venous heart? | Calf muscle pump |
| T/F: In the peripheral venous system blood flows from the superficial veins to the deep system | True |
| What is the purpose of a valve in a vein | Maintains proper direction of the venous flow |
| What are the two types of pressure exerted on the venous walls? | Intraluminal and interstitial pressure |
| The difference between intraluminal and interstitial pressures equals what pressure? | Transmural pressure |
| When in a supine position what is the approximate hydrostatic pressure? | OmmHg |
| T/F: all venous valves open at the same time | False |
| T/F: the number of valves one may have is genetically determined | True |
| What occurs if the valve cannot close back in its own | Reflux |
| T/F: Transluminal, pressure is the combination of intraluminal and interstitial pressure. | False |
| The weight of the column of blood from the heart to the level of pressure measure is | Hydrostatic pressure |
| T/F: At rest veins are reservoirs for blood | True |
| What does the valsalva maneuver test? | Valvular competency |
| Which of these is NOT a competent of venous valve anatomy? Commissure, tunica media, agger or cusps | Tunica media |
| Which of these is characteristic of an Ostia valve? | An ostias valve generally consists of 1 cusp, occasionally 2 |
| Where in the venous anatomy is a thrombus most likely to form? | In the sinus |
| In the average pátient, how many valves appear in the greater saphenous vein? | 7-9 |
| What occurs when the volume of flow in the vein is high ? | Intraluminal pressure is high and the vein is circulár. |
| T/F: Interstitial pressure is the pressure inside of the vein that pushes outward | False |
| T/F: The posterior tibial vein has an average of 19 venous valves | True |
| T/F: A commonly occurring location for a thrombus to originate is in the sinus | True |
| T/F: An agger can be described as the free edges of the cusps in a valve. | False |
| T/F: Ostia valves cusps are semi lunar | True |
| T/F: In an individual who is supine, the hydrostatic pressure is approximately equal to 100mmHg | False |
| T/F: Respiratory activity does not significantly affect the venous flow in a supine patient | False |
| T/F: venous valves appear in the long veins of the extremities, as well as in the abdomen | True |
| Veins are connected between the deep & superficial systems via _____ | Perforators |
| What are two things that cause pressure changes In the veins | Calf muscle & respiration |
| The free edge border of valve leaflets is called | Commisure |
| The greater the intraluminal pressure, the greater the volume of flow, the larger & more circular the ______ | Cross-sectional appearance |
| _______ causes a potential space, which allows blood flow into the deep system via perforators | Calf muscle relaxation |
| What type of flow present in incompetent venous valves | Both Antegrade and retrograde |
| What veins and upper extremities have no spontaneous Doppler signal | Tibial veins, small sephaneous veins and ulnar veins |
| What is venous reflux | Retrograde flow |
| Increase in venous flow signal during proximal compression is an indication of | Incompetent valve |
| Normal physic waveforms with respiratory variation increase with ______ and decrease with ________ | Expiration / inspiration |
| The valsalva maneuver is a method to apply ______ to the CFV | Proximal compression |
| What flow pattern is expected in the internal jugular, subclavian, and innovate veins | Pulsatile |
| Characteristics of normal hepatic vein flow are | Minimally phased, bidirectional or pulsatile |
| Normal portal vein pattern is _________ by normal respiration in an adult patient. | Essentially unaffected |
| Which of these is definition of patency? Patient is in the supine position, the vessel being imaged has significant obstruction, The vessel is without obstruction | The vessel is without obstruction |
| What is the correct definition of phasicity | The variance of flow corresponding with respiration |
| What would be considered abnormal in lower extremity veins | Have a continuous flow pattern |
| What normal characteristic would cause the subclavian vein to be non-compressible | The proximity to bony structures |
| Which of these is NOT a characteristic of abnormal venous flow | Physic flow with respiration |
| What vein/s within the venous system are typically too deep to compress | The pelvic veins |
| What is the term for blood flow that is traveling away from the liver | Hepatofugal flow |
| T/F: venous valves appear in the long veins of the extremities, as well as in the abdomen | True |
| T/F: a normal portal vein is characterized in b-mode imaging by its hyperechoic walls. | False |
| T/F: veins that occur in close proximity to the heart will be pulsatile | True |
| T/F: pulsatile venous flow in the lower extremities can be caused by over-hydration | True |
| T/F:In the proximal obstruction, the normal response of the vein would be the cessation of venous flow. | True |
| T/F: in normal venous flow patterns, there should not be a spontaneous signal, | False |
| What is a contraindication to performing valsalva maneuver? | CHF, arrhythmia |
| T/F: distal compression can be used effectively on a dialysis access graft | False |
| What type of valve is found at the intersection of two veins | Ostias valve |
| T/F: The number of valves in a vessel is the same for every person | False |
| What controls the opening and closing of the valves? | Pressure changes |
| Where in the valve is the most common place for thrombus? | Sinus |
| Normal venous valves have how many cusps? | 2 |
| The agger is the inner surface of the vein where the _______ attaches | Cusp |
| The difference between the intraluminal and the interstitial pressures is called the | Transmural pressure |