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CATH LAB PROPHECY ACTUAL SOLUTION!!
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why is scatter radiation a safety concern - Answers it reflects more harmful secondary radiation in all directions What is the first action you should take if a patient who is recieving moderate sedation has the following VS: HR 82, 93% FIO2 18 respirations elevated end tidal CO2 and begins snoring - Answers wake up or place nasal cannula Which cardiac pressure findings are consistent with Aortic Stenosis? - Answers LV > AO Normal range for Cardiac output - Answers 4-8 L/min When considering cardiac output what is stroke volume? - Answers amount of blood the L ventricle ejects determined by preload, afterload, and contractility. SV increases CO increases. Normal: 50-100 ml/beat Answer is not amount of blood flow from the ventricles to the body during systole or amount of blood ejected by the heart into the aorta during diastole
What primary reperfusion treatment is preferred for a patient with an acute STEMI who is not a candidate for cardiac cath? - Answers TPA What vessel supplies oxygenated blood to the L atrium? - Answers Pulmonary Vein What catheter would best engage the RCA - Answers JR What is the difference between a guiding catheter and a diagnostic catheter? - Answers Thinner, stiffer, larger lumen, not tapered The cardiologist has performed a radial approach to access the coronary arteries. What do you expect to see on the radiographic image screen as the catheter approaches the coronary arteries? - Answers radial, brachial, bachiocephalic, SVC, R Heart What size wires are usually utilized in coronary balloon angioplasty? - Answers 0.014 guide length 260- What size is a 6F catheter? - Answers 2 mm Post PCI your patient is started on Brillinta what important side effect should you make them aware of - Answers SOB/Bleeding risk Physician selectively engages the conus branch of RCA what change in waveform would you anticipate? - Answers dampening
You are caring for a patient who is prepping for a PCI. This patient has received 2 sublingual doses of nitro but continues to have pain. What medication do you expect to be ordered? - Answers morphine In addition to ST elevation which new ECG finding is suggestive of an acute MI - Answers heart blocks, bbb, brady When setting up a pressure monitoring system for an arterial line, what kind of tubing is used to transmit pressure waves from the patient to the transducer? - Answers non compliant fluid filled tubing What procedure helps the interventional cardiologist make accurate measurements of a coronary artery? - Answers IVUS What type of contrast is associated with fewer adverse clinical events? - Answers nonionic While performing a PCI you notice contrast staining in the pericardium. Pt experiences chest pain, acute hypotension, and tachy. What emergent procedure do you prepare for? - Answers pericardiocentesis