RCIS

You have just completed an echocardiogram. Your patient asks you to interpret the results of his diagnostic examination. Your response as a healthcare professional should be to: a. Say you don't know how to interpret results b. Explain that the physician will interpret it and report the results c. Explain that the final results are inconclusive d. Honestly interpret it to the best of your ability CORRECT ANSWERS: ANSWER b. Explain that the physician will interpret it and report the res...

In normal fetal circulation the path of oxygenated blood returning from the placenta passes though several fetal shunts. One of these normal fetal pathways between the aorta and PA can be described as a: a- L>R shunt termed the PDA b- R>L shunt termed the PDA c- L>R shunt termed the foramen ovale d- R>L shunt termed the foramen ovale CORRECT ANSWERS: the PA-AO shunt is the PDA and its right to left. When the left heart pressure begins to exceed the right heart pressure, that suc...

ACT post-procedure CORRECT ANSWERS: 200> ACT During Procedure CORRECT ANSWERS: 250< Minimize radiation exposure by what 3 principles CORRECT ANSWERS: time, distance, shielding Two patient "lifelines" in the cath lab CORRECT ANSWERS: ECG, IV what do you check for post-procedure? CORRECT ANSWERS: Vital signs normal Arterial site should be checked for a hematoma Distal pulses Urine output (>30 mL/hr) Post Discharge Monitoring Criteria (5) CORRECT ANSWERS: Aldrete ...

Normal K+ CORRECT ANSWERS: 3.5 5.0 Antiplatelet CORRECT ANSWERS: Plavix ASA Reopro Effient Ticlid If pt has high creatinine what should you consider CORRECT ANSWERS: use small amount of contrast Pre procedure hydration How does Heparin prevent clot formation CORRECT ANSWERS: prevents conversion of prothrombin to thrombin combines with antithrombin to make it more effective What is the action of Reopro CORRECT ANSWERS: inhibits IIb/IIIa receptors INR measures levels of what ...

Mean BP formula CORRECT ANSWERS: Systolic + 2xDiastolic/3 Peak to peak gradient formula CORRECT ANSWERS: LV systolic - AO systolic O2 content=CaO2 formula CORRECT ANSWERS: 1.36 x Hgb x O2 sat O2 capacity=O2 cap formula CORRECT ANSWERS: 1.36 x 100% sat x Hgb % O2 saturation formula CORRECT ANSWERS: O2 content/O2 capacity x 100 FICK Cardiac Output formula CORRECT ANSWERS: O2 consumption (VO2)/(a - v diff) x 10 To figure out A - V diff. CORRECT ANSWERS: (AO - PA) (Hgb x 1.3...

Which skin prep is the least harmful to skin and provides the longest lasting asepsis? a. alcohol rub b. povidone-iodine c. chlorhexidine (hibiclens) d. parachlorometaxylenol (PCMX) CORRECT ANSWERS: c. chlorhexidine (hibiclens) At the end of a case, cleaning a room of dust and wiping it down is termed: a. asepsis b. case turnover c. case disinfection d. terminal decontamination CORRECT ANSWERS: d. terminal decontamination The legal rule that holds each individual responsible ...

What is the normal range of potassium (K+) in the blood? CORRECT ANSWERS: Normal K+ = 3.5-5.0 Potassium < 3.5 = Hypokalemia Potassium > 5.0 = Hyperkalemia Name some antiplatelet medications? CORRECT ANSWERS: ASA, Plavix, Brillenta, Effient, Integrelin, Reopro Remember: Heparin is NOT an antiplatelet If a patient has a high creatinine, what should you consider? CORRECT ANSWERS: Use as a small amount of contrast as possible Pre-procedure fluid hydration 3 mL/kg How ...

What is the formula for calculating cardiac output? A. CO = PA - 1SVC B. CO = AO x PA C. CO = HR x SV CORRECT ANSWERS: C Stroke volume is: A. Related to preload B. Related to afterload C. The same as ejection fraction CORRECT ANSWERS: A Preload is impacted by: A. Mean arterial pressure B. Increased filling volumes C. Ejection fraction CORRECT ANSWERS: B A patient with untreated hypertension would demonstrate: A. Increased afterload B. Decreased afterload C. Decrea...

Stroke Volume (SV) is? a. related to preload b. related to afterload c. the same as ejection fraction CORRECT ANSWERS: a. related to preload Preload is most impacted by? a. mean arterial pressure b. increased filling volumes c. ejection fraction CORRECT ANSWERS: b. increased filling volumes A patient with chronic untreated hypertension would demonstrate? a. increased afterload b. decreased aferload c. decreased preload CORRECT ANSWERS: a. Increased afterload Vascular r...

Poiseuille's Law - doulble the catheter lenght then you should CORRECT ANSWERS: Double the injection pressure. Angiographic flood catheters the injector pressure should not exceed...... CORRECT ANSWERS: 1200 psi Which catheter wires are less kink resistant... CORRECT ANSWERS: NITINOL core to tip wires Platinum is valuable in an angioplasty wire because of its .... CORRECT ANSWERS: Radiopacity Visible in the coronary. An elderly pt with a hx of frequent pericarditis and angina n...