Solutions
____ uses a band to narrow the pulmonary artery,
which reduces the flow of blood and pressure to
the lungs
a. Arterial switch
b. Damus-Kaye-Stansel
c. Fontan
d. Pulmonary artery banding. Correct Answers
Pulmonary artery banding
Arterial switch: transposition of the great arteries
by connecting the aorta to the left ventricle and
pulmonary artery to the right ventricle.
Damus-Kaye-Stansel: transposition of the great
arteries by cutting the pulmonary artery into two
and connected to the ascending aorta and right
ventricle.
Fontan: directly or indirectly connects the right
atrium to the pulmonary artery. The atrial defect is
then closed. Pulmonary artery banding: using a
band to narrow the pulmonary artery, which
reduces the flow of blood and pressure to the
lungs.
A coronary angiography is performed using the
Judkins technique. Which of the following
approaches is most commonly used?
a. Saphenous
,b. Radial
c. Femoral
d. Osteal Correct Answers Femoral
The most common coronary angiography
techniques used with an angiography are the
Judkins and the Sones. With the Judkins technique,
a coronary catheter is inserted into the coronary
arteries using a femoral approach.
A device used with a carotid artery stent procedure
is:
a. Guidewires
b. Aortic strings
c. Capillary tubes
d. Nonocclusive injectors Correct Answers a.
Guidewires
Carotid artery stenting is an endovascular
approach that is performed in patients who have
severe carotid atherosclerotic disease that may
require an open carotid endarterectomy. During a
carotid artery stent procedure several devices used
may include diagnostic catheters, guide catheters,
guidewires, stent systems, and embolic protection
devices. Further, devices to close the access site
are used.
A guidewire is a metallic wire. This wire is tightly
placed over a catheter.
A double J stent has curves:
,-Designed on each end
-Scattered throughout the stent
-Stationed on the outside of the device at one end
-At only one end of the stent Correct Answers
Designed on each end
A stent is a small tube inserted in an artery to
retain the shape of a weak or collapsed artery or to
open a narrowed or clogged artery to allow blood
flow. A double J stent is one type of stent that is
inserted and placed inside a vessel and used for
drainage. The double J stent has curves on both
ends of the stent.
A pacemaker is made up of how many main parts?
Correct Answers 2.
A pacemaker is made of 2 parts, a generator and
wires. It is placed under the skin close to the chest.
It is used to control the heartbeat. It is typically
used for patients with arrhythmias. Arrhythmia is
when the heart's rhythm is abnormal. Minor
surgery is used to place the pacemaker.
Pacemakers can be implanted temporarily (to slow
heartbeat after surgery, heart attack, or overdose)
and permanently (to treat heart failure and to
correct bradycardia).
A patient is having the valve replaced that is in
between the right atrium and right ventricle. Which
, valve is being replaced? Correct Answers
Tricuspid
A patient is undergoing a cardiopulmonary bypass
procedure and an activated clotting time (ACT)
machine is used. The ACT machine is mostly likely
monitoring the effects of:
-Heparin levels on the patient
-Palpations and the patient
-Stroke volume on the patient
-Cardiac output of the patient Correct Answers
Heparin levels on the patient
The activated clotting time (ACT) machine monitors
the effects of heparin and other antithrombotic
drugs on the patient. This test can be performed
along with other test such as the partial
thromboplastin time (PTT) tests. The ACT is
monitored when procedures, such as a coronary
angioplasty, cardiopulmonary bypass,
percutaneous transluminal coronary angioplasty
(PTCA), hemofiltration and dialysis, to name a few,
are done.Heparin (an antithrombin agent) is a drug
that inhibits blood clotting and is given when
patients undergo some cardiac and interventional
procedures. If the accumulation of heparin is too
much in the blood, the patient may demonstrate
excessive bleeding that can be life threatening to
the patient.Palpations is not the best answer
choice as palpations refers to irregular heartbeats.