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Presentation 5: Diagnostic and
Therapeutic Procedures
By: Julianne Mangan
Stress Testing
• Also called an exercise test or treadmill test.
• This procedure evaluates cardiovascular
fitness during physical stress.
• The patient is asked to exercise by
walking/running on a treadmill or pedaling a
bicycle to make the heart work hard and beat
fast at a steadily increasing level.
• An electrocardiogram (EKG) and oxygen levels
are recorded to diagnose a patients problem.
• A stress test will detect the following:
– Abnormal changes in heart rate or blood pressure
– Shortness of breath or chest pain
– Abnormal changes in heart rhythm or electrical
activity
• The test is stopped if the patient cannot
exercise for as long as what is considered
“normal” for the patient’s age.
Thrombolytic Therapy
thromb/o= clot
-lytic= destruction
• This is a process in which drugs are injected
into a blood vessel to break up or dissolve a
blood clot and restore blood flow.
• Thrombolytic medications are typically used
for the immediate treatment of stroke or
heart attack.
• Ideally, a patient should be given the
medication within the first 30 minutes of
receiving treatment.
• The most commonly used thrombolytic drug is
tissue-type plasminogen activator (tPA), however
other drugs include streptokinase (SK),
staphylokinase, reteplase, lenotaplase, and
tenecteplase.
• Depending on the severity, additional therapy such
as catheterization or angioplasty may be needed to
restore blood flow.
Doppler Ultrasonography
ultra- =beyond
son/o =sound
-graphy =process of recording
• This test uses ultrasound to look at the blood
flow through the blood vessels.
• With the use of a transducer, the ultrasound
will measure sound-wave echoes as they
bounce of tissues and organs to produce an
image that demonstrates the appearance of
blood clots or deep vein thromboses.
• Normal results would mean there are no signs
of narrowing, blockage or clots in the blood
vessels and arteries have normal blood flow.
References
• "Doppler Ultrasound Exam of an Arm or Leg: MedlinePlus Medical
Encyclopedia." U.S National Library of Medicine. U.S. National
Library of Medicine, 07 Apr. 2014. Web. 17 June 2015.
(http://www.nlm.nih.gov/medlineplus/ency/article/003775.htm)
• Medical Terminology: A Living Language. 5th ed. New Jersey:
Pearson, 2013. 137-65. Print.
• "Thrombolytic Therapy: MedlinePlus Medical Encyclopedia." U.S
National Library of Medicine. U.S. National Library of Medicine, 13
May 2014. Web. 17 June 2015.
(http://www.nlm.nih.gov/medlineplus/ency/article/007089.htm)
• "What Is Stress Testing?" - NHLBI, NIH. U.S Department of Health
and Human Services, 14 Dec. 2011. Web. 17 June 2015.
(https://www.nhlbi.nih.gov/health/health-topics/topics/stress)

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Presentation 5

  • 1. Presentation 5: Diagnostic and Therapeutic Procedures By: Julianne Mangan
  • 2. Stress Testing • Also called an exercise test or treadmill test. • This procedure evaluates cardiovascular fitness during physical stress. • The patient is asked to exercise by walking/running on a treadmill or pedaling a bicycle to make the heart work hard and beat fast at a steadily increasing level.
  • 3. • An electrocardiogram (EKG) and oxygen levels are recorded to diagnose a patients problem. • A stress test will detect the following: – Abnormal changes in heart rate or blood pressure – Shortness of breath or chest pain – Abnormal changes in heart rhythm or electrical activity • The test is stopped if the patient cannot exercise for as long as what is considered “normal” for the patient’s age.
  • 4.
  • 5. Thrombolytic Therapy thromb/o= clot -lytic= destruction • This is a process in which drugs are injected into a blood vessel to break up or dissolve a blood clot and restore blood flow. • Thrombolytic medications are typically used for the immediate treatment of stroke or heart attack. • Ideally, a patient should be given the medication within the first 30 minutes of receiving treatment.
  • 6. • The most commonly used thrombolytic drug is tissue-type plasminogen activator (tPA), however other drugs include streptokinase (SK), staphylokinase, reteplase, lenotaplase, and tenecteplase. • Depending on the severity, additional therapy such as catheterization or angioplasty may be needed to restore blood flow.
  • 7. Doppler Ultrasonography ultra- =beyond son/o =sound -graphy =process of recording • This test uses ultrasound to look at the blood flow through the blood vessels. • With the use of a transducer, the ultrasound will measure sound-wave echoes as they bounce of tissues and organs to produce an image that demonstrates the appearance of blood clots or deep vein thromboses.
  • 8. • Normal results would mean there are no signs of narrowing, blockage or clots in the blood vessels and arteries have normal blood flow.
  • 9. References • "Doppler Ultrasound Exam of an Arm or Leg: MedlinePlus Medical Encyclopedia." U.S National Library of Medicine. U.S. National Library of Medicine, 07 Apr. 2014. Web. 17 June 2015. (http://www.nlm.nih.gov/medlineplus/ency/article/003775.htm) • Medical Terminology: A Living Language. 5th ed. New Jersey: Pearson, 2013. 137-65. Print. • "Thrombolytic Therapy: MedlinePlus Medical Encyclopedia." U.S National Library of Medicine. U.S. National Library of Medicine, 13 May 2014. Web. 17 June 2015. (http://www.nlm.nih.gov/medlineplus/ency/article/007089.htm) • "What Is Stress Testing?" - NHLBI, NIH. U.S Department of Health and Human Services, 14 Dec. 2011. Web. 17 June 2015. (https://www.nhlbi.nih.gov/health/health-topics/topics/stress)