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Cardiopulmonary

Cardiopulmonary Department | Services Offered by the Cardiology Section
Services Offered by the Respiratory Therapy Section

Settings For Care | Staffing

Electrocardiograms (EKG's), stress EKG's, echocardiograms, pulmonary function studies, electroencephalograms (EEG's), sleep studies are available in the Cardiopulmonary Department.  Cardiopulmonary is managed by a registered respiratory therapist under the direction of Blair Pyle, M.D.

Patients Served

The Cardiopulmonary Department at Southwest Memorial Hospital maintains 24 hour services, 7 days a week, which are sufficient to meet the needs of acute and chronically ill patients of all ages.

The department provides care to all patients without regard to age, gender, race, nationality or payer classification.

Cardiopulmonary Department

The Cardiopulmonary Department at Southwest Memorial Hospital, comprised of the Cardiac Diagnostics Section and Respiratory Care Services, offers a wide range of testing and rehabilitation programs. 

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Services Offered by the Cardiology Section

Cardiac Stress Testing

What is a treadmill test?

A treadmill test consists of walking on a treadmill or riding a stationary bike while being monitored to determine if you have a heart condition. During this test the level of work will start out very light and increase gradually until symptoms occur, your physician has enough information to make a diagnosis or you reach a predetermined heart rate.

Are there any special preparations?

YES, ASK YOUR DOCTOR IF THERE ARE ANY MEDICINES HE or SHE DOES NOT WANT YOU TO TAKE PRIOR TO THE TEST.

What is a Cardiolite Stress Test?

In addition to the regular portion of the stress test, your doctors also want a scan of your heart using Cardiolite. Cardiolite is a radioactive material, which is cleared from your body naturally. The amount of radiation you will be exposed to is equal to that from an X-ray or CAT Scan. Cardiolite will allow the physician to compare the blood flow to the heart during rest and after the stress test. The first injection of Cardiolite will be given approximately 11/2 hours before your stress test. During this time a small needle will be inserted into a vein (probably in your arm) and a small amount of Cardiolite will be given. Following this you will be placed under a camera for pictures to be taken of your heart. It takes about 25 minutes for the pictures to be taken. The same process will follow after the stress test is completed.

Are there any further instructions?

If you are having a Cardiolite Scan, do NOT EAT or DRINK CAFFEINATED BEVERAGES or SMOKE CIGARETTES OR CIGARS OR CHEW TOBACCO 6 HOURS prior to the test.

How does the heart monitor work?

Ten (10) patches will be placed on different spots on your chest. These patches will be connected to a machine, which will allow the physician to monitor your heart.

Electrocardiogram (EKG) Testing

24-Hour Holter Monitoring and Scanning

What will the Holter Monitor record?

Using seven small patches, the Holter Monitor will record the electrical activity of your heart from three different angles for a 24-hour period. A small computer card will store all of the information. Upon your returning monitor, this small card will be taken out of the recorder and placed in a computer to be analyzed.

What will the report tell my physician?

Every single heart beat which occurred during the time you wear the monitor will be counted and analyzed. This will allow your physician to determine if your symptoms are the result of an irregular heart beat or a lack of blood flow to your heart. Frequently a Holter Monitor is ordered to determine the effectiveness of certain treatments for irregular heart beats. This can be determined with a Holter Monitor.

Is there any special preparation?

No. Wear lose fitting clothing. You will not be able to get the patches you will wear wet. Therefore no shower or bath for a 24 hour period.

How long does the test last?

To hook up the monitor. It will take approximately 20 minutes. You will wear the monitor for 24 hours and return it back to the lab. It will take approximately five minutes to remove the monitor.

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Echocardiogram Testing

What is an Echocardiogram?

An Echocardiogram or Echo, is a test which utilizes high frequency sound waves to obtain images of your heart and its structures. This test is used to determine if your heart is the cause of your illness or contributing to the illness in any way.

How is the test completed?

During the test you will be asked to lie on your left side (if possible) while a trained technician records the images of your heart on a VCR tape. The procedure does not hurt and no known complications have ever occurred during the test, which usually last less than 30 minutes. During the test you may hear several strange noises coming from the machine. Do not become alarmed. These noises are actually the sound of your blood being pumped through your heart.

Upon completion, the technician will clean off the special gel used for this procedure from your chest and print out all of the necessary reports. These reports will be placed in the appropriate physician’s file to be read. The technician will not discuss any findings or conclusions about the test with you. Your personal physician is responsible for providing you with this information. If you have any further questions, please call the CVP Lab at 970-564-2364.

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Services offered by Respiratory Therapy Section

Pulmonary Function Testing (including spirometry, lung volumes and diffusion studies)

What are Pulmonary Function Test (PFT’s)?

There are many test that are considered pulmonary function tests. The list may include PFT’s with and without bronchodilator, lung volumes, diffusion capacity, and slow vital capacity to name a few. All of these test require the patient to blow into a tube while sitting in a chair.

What do the test measure?

Each test measures a specific function of your lungs or records of specific volume of air in your lungs. All of these measurements allow your doctor or a lung specialist to determine a diagnosis and a proper plan of treatment if needed. The test is also used  to determine if the medicine you are taking is working effectively.

Are there any instructions?

Yes. First of all, wear loose clothing. Do not wear any item that restricts your ability to take a deep breath. Secondly, avoid large meals before the scheduled test time. Ask your doctor if he/she wants you to use your inhaled medicines prior to the test. MOST DOCTORS want your inhaled medicine WITHHELD 6 HOURS PRIOR to the test.

Monitored Electroencephalogram (EEG) Testing

Breathing Treatments

Non Invasive Vascular Testing

Pulse Oximetry

Cardiac Outputs

Mechanical Ventilation

Oxygen Administration

Aerosolized Medication Therapy

Chest Physiotherapy

Incentive Spirometry

IPPB

Aerosol and Humidity Therapy

Suctioning/Airway Care

Sputum collection for lab analysis

Resuscitation and CPR

Cardiac Rehabilitation

Patient and Family Education

Respiratory Wellness
• Use of Metered Dose Inhalers
• Pulmonary Rehabilitation

Record keeping and billing processing

Continuous Quality Improvement

Modern Sleep Study Unit

Staffed by sleep study professionals. Problems such as snoring, insomnia and daytime sleepiness may mean that you might be like 20 million other Americans who have a sleeping disorder. If sleep problems are causing you to be irritable, depressed or have affected your concentration, see your doctor to determine if sleep testing can provide some answers.

Sleep studies at our lab monitor all activities that occur during the night in a relaxing, homelike environment. A sleep technologist attaches small metal discs called electrodes to the head and skin with an adhesive, plus other simple probes to measure breathing, heart rate and the blood’s oxygen level. The technical equipment and technologist are in a nearby room monitoring all activities.

If therapy is prescribed, Continuous Positive Airway Pressure (CPAP) is a highly effective treatment for sleep apnea. Using a mask worn over the nose during sleep, the patient receives gentle pressure from an air compressor that forces air through nasal passages and into the airway. This holds the airway open and allows the person to sleep and breathe normally. Another option is surgery which may correct physical abnormalities that compromise breathing during sleep.

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Settings for Care

The Cardiopulmonary Department, located on the 2nd floor of the hospital, provides services in the following areas:

• ICU/TCU
• Emergency Room
• Medical/Surgical Unit
• OB/Nursery
• Surgery
• Same Day Care
• PACU
• Medical Imaging
• Cardiopulmonary Department

Staffing

• Types of practitioners providing services and care include: RRT, CRT, RPFT, CPFT, CVT, CP Technicians.
• Two practitioners are routinely scheduled on weekdays, one on evenings and one on nights.
• Additional staff is provided as needs arise.

For information regarding any of these tests or programs, please contact the Cardiopulmonary Department at 970-564-2360 or 970-564-2361.  You may fax to us at 970-564-2366 .

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1311 N. Mildred Rd. • Cortez, Co, 81321
Main Hospital: 970-565-6666 • Emergency Room: 970-564-2025