What is the correct procedure for a fluoroscopy

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Reference no: EM133867878

Assignment:

The Ranchos Los Amigos scale is a useful tool to rate the patient's cognitive level after the patient regains consciousness from a TBI[6]. During initial assessment, she presented with level VI (Confused-appropriate) on the Ranchos Los Amigos scale[6]. As such, the patient was ready for rehabilitation since she was able to consistently follow simple directions (i.e., one step commands), showed carry over for relearned familiar tasks (e.g., self-care), and could attend to highly familiar tasks for a certain period of time[6]. However, the physiotherapist kept in mind that the patient required maximal assistance in learning new tasks due to the lack of carryover from previous sessions[6]. Additionally, the physiotherapist ensured to take proper safety measures (i.e., maximal supervision) since the patient was unaware of her impairments and was inconsistently oriented to person, time, and space[6].

1. When examining a patient's carotid pulse, why should we not palpate both carotids at once? Is it because it might block the blood supply to the brain?

2. How can I differentiate between jugular and arterial pulsation in the neck practically?

3. Can you please help me with this: 'Thrusting due to mitral or aortic regurgitation. Heaving due to aortic stenosis and systemic hypertension. There is often confusion about the terms thrusting and heaving'. Another book I read considers aortic stenosis and hypertension for thrusting and mitral/aortic regurgitation for heaving. Who should I go with? Thank you.

4. Where is the best place on the precordium to auscultate a split-second heart sound?

5. What is the mechanism by which murmurs of mitral valve prolapse (MVP) and hypertrophic cardiomyopathy (HC) are accentuated by standing or the Valsalva manoeuvre?

6. What is the correct procedure for a fluoroscopy and why is this essential for the insertion of cardiac catheter, pacemaker and prosthetic valve?

7. What is the role of amiodarone in the acute management of asystole or pulseless electrical activity (PEA)?

8. 1. Is there any contraindication to the use of microwaves or mobile phones in patients with pacemakers?

2. What, if any, appliances should be avoided in a patient with a pacemaker?

9. 1. What is tachy-brady arrhythmia in the sick sinus syndrome?

2. How can it be managed?

10. Practically, how can we differentiate between a second-degree atrioventricular (AV) block Mobitz I and Mobitz II? What is the meaning of first-degree block? What is the difference between heart asystole, heart arrest and third-degree AV block?

Reference no: EM133867878

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