2. THROMBOLYTIC THERAPY Thrombolytic therapy is a treatment used to break up dangerous clots inside your blood vessels It is used to treat Ischemic strokes It can also be used to treat clots in: A lung artery, called a pulmonary embolism The deep veins of your leg, called deep vein thrombosis (DVT) Your heart, which may cause a heart attack; An artery elsewhere in your body, such as in an arm or leg artery A bypass graft or dialysis catheter that has become blocked
3. COMPLICATIONS Complications are not unusual with thrombolytic therapy it should be carried out under close supervision Your physician can manage most of the them including Bleeding in the access site or elsewhere Low blood pressure Allergy to thrombolytic drugs
4. STRESS TESTING Aform of testing that is used to determine the stability of a given system or entity Sometimes called a treadmill test or exercise test helps a doctor find out how well your heart handles work The test can show if the blood supply is reduced in the arteries that supply the heart. It also helps doctors know the kind and level of exercise appropriate for a patient.
5. PROCEDURE FOR STRESS TEST A person taking the test is hooked up to equipment to monitor the heart. walks slowly in place on a treadmill. Then the speed is increased for a faster pace and the treadmill is tilted to produce the effect of going up a small hill. may be asked to breathe into a tube for a couple of minutes. can stop the test at any time if needed. afterwards will sit or lie down to have their heart and blood pressure checked.
6. Doppler Ultrasound A test that uses reflected sound waves to evaluate blood as it flows through a blood vessel. Helps doctors evaluate blood flow through the major arteries and veins of the arms, legs, and neck can reveal blood clots in leg veins that could break loose and block blood flow to the lungs
7. PROCEDURE FOR DOPPLER ULTRASOUND A handheld instrument (transducer) is passed lightly over the skin above a blood vessel The movement of blood cells causes a change in pitch of the reflected sound waves (called the Doppler effect)
8. TYPES OF DOPPLER ULTRASOUND "Bedside" or continuous wave Doppler This type uses the change in pitch of the sound waves to provide information about blood flow through a blood vessel Duplex Doppler uses standard ultrasound methods to produce a picture of a blood vessel and the surrounding organs Color Doppler uses standard ultrasound methods to produce a picture of a blood vessel. Power Doppler is a newer ultrasound technique that is up to 5 times more sensitive in detecting blood flow than color Doppler