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1. The 4 major timing errors with the IABP would not include - ANSWER
primary deflation
2. What are the 4 timing errors with the IABP - ANSWER early deflation
early inflation
late deflation
late inflation
3. Of the following, which would NOT be considered a lateral lead - ANSWER
aVF
4. What are the lateral leads - ANSWER aVL
I
V5
V6
,5. Of the following, which would be considered correct for a sealant or
extravascular plug that has a high failure rate in fully anticoagulated pts -
ANSWER subQ
vasoseal
6. What would be considered an acceptable length of time that warfarin
should be held prior to the pt having a cardiac cath - ANSWER 72 hrs
7. What should the INR be prior to having a cardiac cath - ANSWER 1.5 or
less
8. Medications which might have an impact on the cardiac cath risks would
not include - ANSWER acetaminophen
9. Medications that would have an impact on the cardiac cath risks would
include - ANSWER insulin
NSAIDs
warfarin
lasix
metformin
ARBs
Ace inhibs
Sildenafil/vardenafil/tadalafil
,10.During a cardiac cath the pt develops a retroperitoneal bleed. interventions
which would be appropriate for this problem would include all of the
following except - ANSWER administration of additional heparin
11.Interventions that would be appropriate for a pt that has developed a
retroperitoneal bleed would include which of the following - ANSWER
transfusion
surgical consultation
reversal of anticoagulation
CT scan
observe for hypotension
avoid high femoral artery punctures
volume replacement
12.If a topical agent is used with manual compression when removing cardiac
sheaths, it would help to do which of the following - ANSWER hasten
clotting
13.If amiodarone needs to be administered during a high risk cardiac cath,
which of the following might be considered the correct dose - ANSWER
300 mg rapid IV infusion (diluted in 20-30 ml of fluid)
or
150 mg over 10 mins followed by an infusion rate of 1 mg/min
, 14.Which of the following would be considered the best description for an
allens test - ANSWER test done for occlusion of the ulnar or radial
arteries
15.For this test, the pt makes a tight fist and the nurse makes a digital
compression of either the radial or the ulnar art. when the pt opens their
hand if there is a failure of the blood to return to the palm and fingers it can
be an indication that there is an obstruction to the blood flow in the artery
that has not been compresses; this test should be performed prior to any
cath that will be using the radial approach - ANSWER allens test
16.Atrial fib and SVT can be caused by which of the following - ANSWER
vigorous stretching of the R atrium
17.What are some of the typical arrhythmias which can be caused by vigorous
stretching go the R atrium - ANSWER SVT
Afib
atrial arrhythmias
18.The pt that is scheduled for a cardiac cath is taking furosemide 40 mg daily.
they are told not to take this medication the morning of the procedure.
which of the following would be the most correct statement regarding
holding the furosemide - ANSWER 1. could cause dehydration
decreasing renal flow
2. could increase the risk of contrast nephropathy
3. could cause hypotension