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Above baseline= diastolic flow Below baseline= systolic flow |
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1. Velocity/intensity: y axis Bright: Strong Doppler shift (a large # of RBCs moving together). Dark- weak shift. 2.Time: x axis 3. Audio:Doppler shifts are audible. Strong well defined signals tell us we parallel & in right region. Smooth tones= laminar,Harsh= turbulent. |
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Blue Away Red Toward transducer. |
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RV Tilt(RVIT), AV SAX, AP 4CH Color in each view. Assess w/Doppler in each view. PW at tips. CW to assess for high vel flow(regurge). AP 4CH- can slide off axis to bring in RV/TV better. |
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Normmal flow will be diastolic, above baseline w/E & A wave. Regurge will be systolic, below baseline. |
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RVOT, AV SAX Color in each view. Doppler in each view. PW Doppler in RVOT . Switch to CW to R/O high velocity flow. |
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Normal PV flow will be systolic, below baseline. PI will be diastolic, above baseline. |
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AP 4 Can Doppler in AP 2 or AP Long but not necessary unless pathology present. PLAX & SAX- not parallel, so will not use spectral. Color valve in each view. Assess with Doppler, PW in LVIT at leaflet tips. Switch to CW to look for high velocity flow. |
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Normal flow will be diastolic, above baseline w/ E & A wave. MR will systolic & below baseline. |
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AP 5 Can assess in the AP Long if pathology. PLAX & SAX not parellel, so will not spectral. Assess with color in all views. Assess with PW in LVOT. Assess AV with CW to check for high velocity flow. |
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Normal AV flow will be systolic and below baseline. AI will be diastolic above baseline. |
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Parallel to flow (0° or 180°). |
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Flashes of color due to structure movement. Increase filter to correct. |
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MV- .6-1.3 m/s TV- .3-.7 m/s PV- .6-.9 m/s AV- 1-1.7 m/s LVOT- .7-1.1 m/s |
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