Glowacki & Sommers RCIS Exam Questions with Correct Answers| Latest
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What is the normal range of Potassium (K+) in the blood? Normal K+ = 3.5-5.0
Potassium < 3.5 = Hypokalemia
Potassium > 5.0 = Hyperkalemia
Name some antiplatelet medications? ASA, Plavix, Brillenta, Effient, Integrelin, Reopro
Remember: Heparin is NOT an antiplatelet
Adenosine causes: Maximum hyperemia
When the patient has a vasovagal reaction, what do you see? BP decreases
HR decreases
SV decreases
When a patient has a vasovagal reaction what do you do? Give fluids
Trendelenburg position
Atropine .5mg-1mg IV push
If a patient has a high creatinine, what should you consider? Pre-procedure fluid hydration
Use as small amount of contrast as possible
*3ml/kg OR 3 times the GFR*
How does heparin prevent clot formation? Heparin prevents the conversion of prothrombin
to thrombin
,Heparin combines with antithrombin to make it more effective
What is the initial dose of Versed for sedation? .5mg-1mg
What is the action of Reopro? Reopro inhibits IIb/IIIa receptors
INR measures the levels of which drug? Coumadin (warfarin)
Most common access point to perform a myocardial biopsy? Right Internal Jugular Vein (IJ)
What are the landmarks to perform and IJ access The IJ lies between the medial and lateral
heads of the sternocleidomastoid muscle and lateral to the carotid artery
Lovenox impacts what? Antithrombin and Factor Xa
What might be the medication of choice for SVT? Adenosine
What short acting benzodiazepine is commonly used in the cath lab for sedation? Versed
(midazolam)
Steps to place a distal protection device? 1. place the device distal to the lesion
2. cross the lesion with the stent/balloon
3. deploy stent
4. remove the stent balloon
5. remove the protection device
,How do you check a patients clotting time after being given heparin? ACT
*If ACT option is not available, draw a PTT
Prior to a procedure, what information must be found on the patient's chart? H&P within 30
days
Informed consent form
Specific Cath lab procedure order
How does Plavix act? Plavix turns off receptor sites on the platelets (super-aspirin)
If a patient is on NPH insulin, what medication should not be given? Protamine
Which procedures require venous access? ASD/PFO closure
Mitral valve clip
Watchman
Mitral valvuloplasty
Right heart cath
Heart biopsy
Permanent and Temporary pacemakers
A-Fib ablation/EP
ICE Catheter
Which procedures require arterial access? Left heart cath
Coronary intervention
TAVR Impella
IABP
, What does ASA (aspirin) do? ASA prevents platelet adhesion
TPA acts by? Dissolving fibrin
Activates Plasminogen
Which procedures require the use of the ICE catheter? ASD/PFO
Mitral valvuloplasty
Mitral valve clip
EP ablations
In place of TEE in a TAVR
What labs look at kidney function? BUN and Creatinine
GFR
Creatinine clearance
The most accurate measure of cardiac muscle fiber damage after an MI is what? Troponin
Which lab value does NOT evaluate the extent of an MI?
- SGOT
- Serum Creatinine
- CK-MB
- LDH serum creatinine
SGOT
Post procedure renal dysfunction is more likely to occur in patients with? -Diabetes
-Pre-procedure dehydration
Update Guaranteed Success
What is the normal range of Potassium (K+) in the blood? Normal K+ = 3.5-5.0
Potassium < 3.5 = Hypokalemia
Potassium > 5.0 = Hyperkalemia
Name some antiplatelet medications? ASA, Plavix, Brillenta, Effient, Integrelin, Reopro
Remember: Heparin is NOT an antiplatelet
Adenosine causes: Maximum hyperemia
When the patient has a vasovagal reaction, what do you see? BP decreases
HR decreases
SV decreases
When a patient has a vasovagal reaction what do you do? Give fluids
Trendelenburg position
Atropine .5mg-1mg IV push
If a patient has a high creatinine, what should you consider? Pre-procedure fluid hydration
Use as small amount of contrast as possible
*3ml/kg OR 3 times the GFR*
How does heparin prevent clot formation? Heparin prevents the conversion of prothrombin
to thrombin
,Heparin combines with antithrombin to make it more effective
What is the initial dose of Versed for sedation? .5mg-1mg
What is the action of Reopro? Reopro inhibits IIb/IIIa receptors
INR measures the levels of which drug? Coumadin (warfarin)
Most common access point to perform a myocardial biopsy? Right Internal Jugular Vein (IJ)
What are the landmarks to perform and IJ access The IJ lies between the medial and lateral
heads of the sternocleidomastoid muscle and lateral to the carotid artery
Lovenox impacts what? Antithrombin and Factor Xa
What might be the medication of choice for SVT? Adenosine
What short acting benzodiazepine is commonly used in the cath lab for sedation? Versed
(midazolam)
Steps to place a distal protection device? 1. place the device distal to the lesion
2. cross the lesion with the stent/balloon
3. deploy stent
4. remove the stent balloon
5. remove the protection device
,How do you check a patients clotting time after being given heparin? ACT
*If ACT option is not available, draw a PTT
Prior to a procedure, what information must be found on the patient's chart? H&P within 30
days
Informed consent form
Specific Cath lab procedure order
How does Plavix act? Plavix turns off receptor sites on the platelets (super-aspirin)
If a patient is on NPH insulin, what medication should not be given? Protamine
Which procedures require venous access? ASD/PFO closure
Mitral valve clip
Watchman
Mitral valvuloplasty
Right heart cath
Heart biopsy
Permanent and Temporary pacemakers
A-Fib ablation/EP
ICE Catheter
Which procedures require arterial access? Left heart cath
Coronary intervention
TAVR Impella
IABP
, What does ASA (aspirin) do? ASA prevents platelet adhesion
TPA acts by? Dissolving fibrin
Activates Plasminogen
Which procedures require the use of the ICE catheter? ASD/PFO
Mitral valvuloplasty
Mitral valve clip
EP ablations
In place of TEE in a TAVR
What labs look at kidney function? BUN and Creatinine
GFR
Creatinine clearance
The most accurate measure of cardiac muscle fiber damage after an MI is what? Troponin
Which lab value does NOT evaluate the extent of an MI?
- SGOT
- Serum Creatinine
- CK-MB
- LDH serum creatinine
SGOT
Post procedure renal dysfunction is more likely to occur in patients with? -Diabetes
-Pre-procedure dehydration
