CORRECT SOLUTIONS||UPDATED
2026/2027 SYLLABUS||100%
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1) What medications are given for DIC? - ANSWER ✓ Heparin in the early
stage and then clotting factors are given when hemorrhage is the primary
problem
2) What is the normal range for Central venous pressure (CVP)? - ANSWER
✓ 4-12
3) What is the normal range for pulmonary artery wedge pressure (PAWP)? -
ANSWER ✓ 4-12
4) What does it mean when the PAWP is increased/decreased? - ANSWER ✓
Increased= LSHF or hypervolemia
5) Decreased= Hypovolemia or decrease in afterload
6) What is the formula and the normal for cardiac output? - ANSWER ✓ HR *
SV (4-7)
7) What is the formula and normal for Cardiac index? - ANSWER ✓ CO/Body
surface area (2.7-3.2)
8) What needs to be done when assessing chest pain? - ANSWER ✓ PQRST
9) P-provoking? at rest or activity?
Q-quality. What type of pain?
R-radiating?
S-severity? rate from 1-10
, T-timing. How long?
-What type of pain? sharp, dull, squeezing
-Take a deep breath, does pain get better or worse with breathing?
-Does pain feel better if you reposition?
10) Describe the difference between respiratory and cardiac pain. -
ANSWER ✓ MI: Describes pain as dull or pressure ("elephant on chest"),
big breath or repositioning doesn't change the pain
Resp.: Sharp intermittent pain with SOB. Changing positions helps the pain
11) Describe MONA - ANSWER ✓ Morphine, Oxygen, Nitro, Aspirin
Administer based on ABC's
12) What is the pre-cath procedure? - ANSWER ✓ -*labs (check for
prerenal disease)*
-consents
-12 lead EKG
-Shave prep
-ALLERGIES and Medications
Describe bleeding precautions - ANSWER ✓ -Soft toothbrush
-Electric razor
-Fall precautions
What medication is administered in thrombocytopenia? - ANSWER ✓ Platelets if
needed
What will a patient with thrombocytopenia look like - ANSWER ✓ They will
have petichae and ecchymosis
What is Heparin induced thrombocytopenia (HIT)? - ANSWER ✓ Occurs as a
paradocical/rebound effect of heparin, therefore the opposite action of heparin
occurs (cloting). At risk for PE or DVT
What med is given to treat HIT? - ANSWER ✓ Argatroban (anti-coag)
, What is Disseminated intravascular coagulation (DIC) caused by? - ANSWER ✓
A problem with the blood clotting process. Patients at risk= sepsis, placenta
abruptio, blood transfusions
What medications are given for DIC? - ANSWER ✓ Heparin in the early stage
and then clotting factors are given when hemorrhage is the primary problem
What is the normal range for Central venous pressure (CVP)? - ANSWER ✓ 4-12
What is the normal range for pulmonary artery wedge pressure (PAWP)? -
ANSWER ✓ 4-12
What does it mean when the PAWP is increased/decreased? - ANSWER ✓
Increased= LSHF or hypervolemia
Decreased= Hypovolemia or decrease in afterload
What is the formula and the normal for cardiac output? - ANSWER ✓ HR * SV
(4-7)
What is normal for Cardiac index? - ANSWER ✓ 2-4
What needs to be done when assessing chest pain? - ANSWER ✓ PQRST
P-provoking? at rest or activity?
Q-quality. What type of pain?
R-radiating?
S-severity? rate from 1-10
T-timing. How long?
-What type of pain? sharp, dull, squeezing
-Take a deep breath, does pain get better or worse with breathing?
-Does pain feel better if you reposition?
Describe the difference between respiratory and cardiac pain. - ANSWER ✓ MI:
Describes pain as dull or pressure ("elephant on chest"), big breath or repositioning
doesn't change the pain
, Resp.: Sharp intermittent pain with SOB. Changing positions helps the pain
Describe MONA - ANSWER ✓ Morphine, Oxygen, Nitro, Aspirin
Administer based on ABC's
What is the pre-cath procedure? - ANSWER ✓ -*labs (check for prerenal
disease)*
-consents
-12 lead EKG
-Shave prep
-ALLERGIES and Medications
What is a normal troponin lab value? - ANSWER ✓ 0-0.1
Describe post cath care. - ANSWER ✓ -Put them on tele monitor
-Keep affected leg straight- keep clot in place
-*Keep HOB less than 30 degrees*
-Don't want to kink @ leg
-Hematoma will burst and bleed!
-Pulse check of affected extremity
-IV fluids
Describe contraindications for thrombolytic therapy - ANSWER ✓ Absolute
-Any prior intracranial hemorrhage
-Cerebral vascular lesion
-Known malignant intracranial neoplasm
-Ischemic stroke within 3 months
-Suspected aortic dissection
-Active bleeding
-Closed head or facial trauma with in 3 months
Relative
-Hx of poorly controlled HTN
-BP greater than 180/110
-Pregnancy
-Dementia, or other intracranial pathology
-CPR (10 minutes+) or major surgery within 3 wks
-Recent internal bleeding (2-4 weeks)