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Q&A covering cardiac catheterization: morphine antagonists, definition, CCL staff certifications, contraindications, aseptic techniques, history, contrast media reactions, sterilization, rotablator atherectomy, restenosis mechanisms, normal blood pressure, ventriculography power injector settings, sinus bradycardia, RFCA, cardiac index, vessel healing, heparin adverse effects, pacemaker indications, IVCD etiologies, dialysis ventricular distension prevention, TLDs, basic life support, rotaglide allergies, thermodilution cardiac output, right ventricle function, pulse oximetry, heart electrical impulses, normal respiratory rate, angina types, arterial puncture, power injection, Aldrete scores, contrast contraindications, bolus definition, myocardial oxygen demand factors, NIH, ECG waves, pacemaker modes, and secondary radiation. Useful for medical students and healthcare professionals.
Typology: Exams
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The .antagonists .for .morphine, .demerol, .or .fentanyl .would .be .considered? .- .CORRECT .ANSWER-naloxone .(narcan) Which .of .the .following .descriptions .would .best .describe .cardiac .catheterization? .- .CORRECT .ANSWER-the .insertion .and .passage .of .a .small .plastic .cath .into .one .of .the .arteries .to .the .heart The .CCL .(cardiac .catheterization .laboratory) .staff .needs .to .be .certified .in .which .of .the .following? .- .CORRECT .ANSWER-ACLS PALS BLS Of .the .following, .which .would .be .considered .a .relative .contradiction .for .a .patient .to .havea .cardiac .catheterization? .- .CORRECT .ANSWER-renal .failure pregnancy acute .GI .bleed anemia electrolyte .imbalance uncooperative .pt an .uncontrolled .condition .such .as .high .BP, .arrhythmias, .or .CHF recent .CVA .of .less .than. 1 .month medication .intoxication infection/fever anticoagulation In .the .cardiac .catheterization .suite, .which .of .the .following .techniques .would .be .used .by .the .healthcare .staff? .- .CORRECT .ANSWER-aseptic The .actual .first .cardiac .catheterization .was .performed .in .which .of .the .following .years .and .by .whom? .- .CORRECT .ANSWER- 1929 Dr .Forssman. (in .germany .using .a .urinary .cath .inserted .into .his .arm) Moderate .contrast .medium .reactions .might .be .considered .which .of .the .following? .- .CORRECT .ANSWER-heachache vomiting diffuse .urticaria facial .edema
mild .bronchospams palpitations abdominal .cramps persistent .vomiting Which .of .the .following .would .be .considered .one .of .the .three .types .of .reactions .from .contrast .media? .- .CORRECT .ANSWER-1. .cardiac .and .major .anaphylactoid .responses
Of .the .following, .which .would .be .considered .the .pulse .oximety .reading .range .that .would .be .considered .mild .hypoxia? .- .CORRECT .ANSWER-92% what .is .the .O2 .sat .range .for .mild .hypoxia .- .CORRECT .ANSWER- 91 - 94% what .is .the .normal .O2 .sat .range .- .CORRECT .ANSWER- 95 - 100% moderate .hypoxia .O2 .sat .range .would .be .what .- .CORRECT .ANSWER- 86 - 90% what .O2 .sat .would .show .severe .hypoxia .- .CORRECT .ANSWER-85% .or .less If .a .person's .heart .is .functioning .normally, .which .of .the .following .would .be .considered .correct .for .where .the .electrical .impulse .of .the .heart .originates? .- .CORRECT .ANSWER-SA .node .(sinoatrial .node) this .is .composed .of .specialized .tissues .that .are .located .in .the .high .posterior .RA .wall .that .is .close .to .the .inflow .track .of .the .SVC .- .CORRECT .ANSWER-SA .node If .the .nurse .is .assessing .an .adult .patient .and .finds .their .respirations .are .10, .which .of .the .following .would .be .considered .correct? .- .CORRECT .ANSWER-too .slow what .is .the .normal .respiratory .rate .- .CORRECT .ANSWER- 12 - 20 .breaths .per .min Which .of .the .following .is .considered .the .type .of .angina .that .can .be .caused .by .a .coronary .artery .spasm? .- .CORRECT .ANSWER-prinzmetals .angina The .preferred .technique .for .arterial .puncture .would .be .considered? .- .CORRECT .ANSWER-single .anterior .arterial .wall .entry ______ .would .be .best .used .to .help .prevent .problems .with .the .pts .that .have .been .treated .with .anticoagulants, .thrombolytics, .or .anti .platelet .agents .- .CORRECT .ANSWER-single .anterior .arterial .wall .entry The .total .volume .setting .for .a .typical .power .injection .device .used .in .the .cardiac .catheterization .laboratory .would .be .considered .which .of .the .following? .- .CORRECT .ANSWER- 20 - 50 .ml Which .of .the .following .Aldrete .scores .should .the .conscious .sedation .patient .return .to .before .than .can .be .discharged? .- .CORRECT .ANSWER- 9 - 10 what .are .the .criteria .that .the .pt .has .to .meet .before .they .can .be .discharged .- .CORRECT .ANSWER-1. .aldrete .score .needs .to .be. 9 - 10
2.. 2 .hrs .must .laps .since .the .last .dose .of .sedatives
Which .of .the .following .should .be .a .contraindication .for .the .patient .to .be .given .a .contrast .medium? .- .CORRECT .ANSWER-allergy .to .shellfish How .would .a ."bolus" .be .best .described? .- .CORRECT .ANSWER-a .single .large .dose .of .medication All .but .which .of .the .following .might .influence .the .myocardial .oxygen .demand? .- .CORRECT .ANSWER-height .and .weight the .myocardial .O2 .demand .can .have .the .potential .to .be .influenced .by .- .CORRECT .ANSWER-HR afterload contractility preload What .does .NIH .stand .for? .- .CORRECT .ANSWER-neointimal .hyperplasia _____ .is .considered .the .most .common .cause .of .restenosis .following .the .placement .of .coronary .stenosis; .it .describes .the .migration .of .smooth .muscle .cells .into .the .artery .walls .when .there .is .injury .to .the .vessel; .there .is .a .restricted .blood .flow .within .the .art .- .CORRECT .ANSWER-NIH .(neointimal .hyperplasia) Which .wave .on .an .ECG .relates .to .the .A .wave .on .the .right .atrium .waveform? .- .CORRECT .ANSWER-the .P .wave Which .of .the .pacemaker .modes .indicates .the .pacemaker .works .at .a .continuous .set .rate? .- .CORRECT .ANSWER-fixed .rate with .a .____ .the .pacemaker .paces .when .the .heart .drops .below .a .level .that .the .pacer .is .set .at .- .CORRECT .ANSWER-demand .rate Secondary .radiation .could .best .be .described .as .which .of .the .following? .- .CORRECT .ANSWER-the .lower .quality .attenuated .radiation .which .occurs .when .radiation .interacts .with .an .object The ."Cardiac .Angiography .and .Interventions" .recommend .which .of .the .following .treatments .for .hypotension .and .shock .related .to .anaphylactic .reactions? .- .CORRECT .ANSWER-oximetry CVP/swan .ganz O2 .by .mask/intubation large .vol .of .0.9% .NS .(3L/hr) epi .IV diphenhydramine .50mg-100mg .IV hydrocortisone .400mg .IV ABGs
deliverability flaring expansion .ratio trackability scaffolding radiopacity radial .strength flexibility metal .surface .area Temporary .transvenous .pacing .is .better .tolerated .than .some .of .the .other .pacing .methods, .butis .associated .with .a .high .rate .of .complications. .Which .of .the .following .might .be .consideredone .of .these .complications? .- .CORRECT .ANSWER-local .infections lead .dislodgement Most .percutaneous .coronary .interventions .are .performed .using .a .____ .F .guiding .catheter? .- .CORRECT .ANSWER- 6 All .but .which .of .the .following .would .be .checked .if .a .patient .on .a .temporary .pacemaker .shows .on .the .cardiac .monitor .that .there .is .a .failure .to .pace .due .to .output? .- .CORRECT .ANSWER-1. .prepare .for .transcutaneous .pacing
Of .the .following .physicians, .which .typically .performs .peripheral .diagnostic .and .interventional .procedures? .- .CORRECT .ANSWER-vascular .surgeons radiologists cardiologists If .a .patient .has .chronic .atherosclerotic .obstructions, .which .of .the .following .is .often .their .most .common .complaint? .- .CORRECT .ANSWER-exercised .induced .pain .in .the .calf Which .of .the .following .might .be .considered .a .problem .that .can .be .associated .with .holding .manual .pressure .when .removing .sheaths? .- .CORRECT .ANSWER- staff .fatigue predisposal .to .carpal .tunnel .syndrome poor .technique application .of .inconsistent .press Of .the .following, .which .would .be .considered .a .way .to .achieve .hemostasis .after .a .percutaneouscatheterization .- .CORRECT .ANSWER-vascular .plugs manual .compression topical .hemostasis .accelerators mechanical .compression percutaneous .vascular .suturing It .can .take .as .long .as .__________ .for .the .components .of .the .Angio-Seal .to .be .reabsorbed? .- .CORRECT .ANSWER- 90 .days .(you .can .restick .immediately) Common .causes .of .a .cardiac .catheterization .patient .developing .life-threatening .dysrhythmias .would .include .all .but .which .of .the .following? .- .CORRECT .ANSWER-spasms ischemia air .embolisms accidental .electrical .shock dissection/abrupt .closure thrombus .embolism contrast .injection electrolyte .imbalance irritation .from .devices .in .the .LV/RV overdose/drug .poisoning _______ .would .be .a .liquid .thrombin .which .has .the .potential .to .seep .into .the .vessel .of .the .patient? .- .CORRECT .ANSWER-duetts Which .of .the .following .medications .have .the .potential .to .impact .the .risks .for .a .cardiac .catheterization? .- .CORRECT .ANSWER-NSAIDs warfarin furosemide metformin ARBs
insulin ACE .inhibs sildenafil(viagra)/vardenafil/tadalafil .(vasodilators)