IBHRE Chapter 6 EP Procedure Exam with Questions and Answers

IBHRE Chapter 6 EP Procedure Exam with Questions and Answers Patients coming to the EP lab for CRT who have had a previous allergic reaction to contrast should a. have their case deferred due to unacceptable risk b. receive non-iodinated contrast only c. receive reduced volume contrast injections and DSA procedures d. Pre-medicated w steroid and anti-histamine ANSWER d. Pre-medicated w steroid and anti-histamine Prednisone (60mg the night before & 60 mg pre-cath) diphenhydramine (benedryl - 50mg pre cath) A patient with a prosthetic MV needs a right heart EP study. He takes coumadin daily & has no clotting problems. What should happen prior ANSWER Discontinue coumadin 48 hours prior to cath until INR <1.8 If patient was in great danger, it would be okay to to take off coumadin and do a heparin drip Never reverse with vitamin k if patient must stay on coumadin/its an emergency CVA stands for ANSWER cerebral vascular accident is a stroke or cerebral thrombosis TIA stands for ANSWER transient ischemic attack & is a small temporary stroke involving thrombi to the brain