THEIR CORRECT SOLUTIONS
What is a cardiac stress test? What does the patient
do during this test?
A non-invasive way to evaluate if there is an MI and higher
myocardial 02 requirements.
The patient walks on a treadmill or pedals a stationary
bike while the following are being monitored:
12-Lead EKG
BP
Skin Temp
Physical appearance
What medications are to be held prior to a stress test?
Cardiac meds are to be held
When are pharmacological stress test conducted?
When patient is unable to follow directions or physically
disabled to perform a normal cardiac stress test.
What medications are used during pharmacological
stress test?
Dipyridamole via IV infusion.
**CAN BE REVERSED BY IV AMINOPHYLLINE**
What are the nursing interventions for
pharmacological stress test?
, Advise patient do not eat or drink for up to 3 hours prior.
No caffeine or stimulants at least 24 hours prior to test
If patient is taking amniophyline or dipyridamole they are
instructed to stop 24 to 48 hours prior.
What two types of radiological test can detect MI?
Single Photon Emission Computer Tomography (SPECT)
Position Emission Tomography (PET)
What ultrasound test can be ordered for patients with
cardiological concerns?
ECHO! used to measure ejection fraction, examine
size/shape of heart, and motion of cardiac structures.
What is a TEE?
transesophageal echocardiogram- involves threading a
small transducer through the mouth and into the
esophagus.
*Patient must be assessed for prior history of
dysphagia or radiation therapy.*
What nursing interventions must be done for TEE?
NPO for 6 hours prior
Informed Consent Signed
After procedure patient must remain in bed with head
elevated at 45* angel
Monitor patient vital signs, SP02 and LOC.
What does a stress test help determine?
Presence of CAD
Cause of CP
Functional capacity of the heart
Effectiveness of antiarrythmia drugs
Occurrence of dysrhythmias
Where do the P-waves originate?