What is a cardiac stress test? What does the patient do during this test? - answerA 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? - answer Cardiac meds are to be
held
When are pharmacological stress test conducted? - answer 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? – answer
Dipyridamole via IV infusion.
***CAN BE REVERSED BY IV AMINOPHYLLINE***
What are the nursing interventions for pharmacological stress test? - answerAdvise
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? - answerSingle Photon Emission
Computer Tomography (SPECT)
Position Emission Tomography (PET)
What ultrasound test can be ordered for patients with cardiological concerns? -
answerECHO! used to measure ejection fraction, examine size/shape of heart, and
motion of cardiac structures.
What is a TEE? - answertransesophageal 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.**