RCIS

ACT post-procedure CORRECT ANSWERS: 200> ACT During Procedure CORRECT ANSWERS: 250< Minimize radiation exposure by what 3 principles CORRECT ANSWERS: time, distance, shielding Two patient "lifelines" in the cath lab CORRECT ANSWERS: ECG, IV what do you check for post-procedure? CORRECT ANSWERS: Vital signs normal Arterial site should be checked for a hematoma Distal pulses Urine output (>30 mL/hr) Post Discharge Monitoring Criteria (5) CORRECT ANSWERS: Aldrete ...

Normal K+ CORRECT ANSWERS: 3.5 5.0 Antiplatelet CORRECT ANSWERS: Plavix ASA Reopro Effient Ticlid If pt has high creatinine what should you consider CORRECT ANSWERS: use small amount of contrast Pre procedure hydration How does Heparin prevent clot formation CORRECT ANSWERS: prevents conversion of prothrombin to thrombin combines with antithrombin to make it more effective What is the action of Reopro CORRECT ANSWERS: inhibits IIb/IIIa receptors INR measures levels of what ...

Mean BP formula CORRECT ANSWERS: Systolic + 2xDiastolic/3 Peak to peak gradient formula CORRECT ANSWERS: LV systolic - AO systolic O2 content=CaO2 formula CORRECT ANSWERS: 1.36 x Hgb x O2 sat O2 capacity=O2 cap formula CORRECT ANSWERS: 1.36 x 100% sat x Hgb % O2 saturation formula CORRECT ANSWERS: O2 content/O2 capacity x 100 FICK Cardiac Output formula CORRECT ANSWERS: O2 consumption (VO2)/(a - v diff) x 10 To figure out A - V diff. CORRECT ANSWERS: (AO - PA) (Hgb x 1.3...

Which skin prep is the least harmful to skin and provides the longest lasting asepsis? a. alcohol rub b. povidone-iodine c. chlorhexidine (hibiclens) d. parachlorometaxylenol (PCMX) CORRECT ANSWERS: c. chlorhexidine (hibiclens) At the end of a case, cleaning a room of dust and wiping it down is termed: a. asepsis b. case turnover c. case disinfection d. terminal decontamination CORRECT ANSWERS: d. terminal decontamination The legal rule that holds each individual responsible ...

What is the normal range of potassium (K+) in the blood? CORRECT ANSWERS: Normal K+ = 3.5-5.0 Potassium < 3.5 = Hypokalemia Potassium > 5.0 = Hyperkalemia Name some antiplatelet medications? CORRECT ANSWERS: ASA, Plavix, Brillenta, Effient, Integrelin, Reopro Remember: Heparin is NOT an antiplatelet If a patient has a high creatinine, what should you consider? CORRECT ANSWERS: Use as a small amount of contrast as possible Pre-procedure fluid hydration 3 mL/kg How ...

What is the formula for calculating cardiac output? A. CO = PA - 1SVC B. CO = AO x PA C. CO = HR x SV CORRECT ANSWERS: C Stroke volume is: A. Related to preload B. Related to afterload C. The same as ejection fraction CORRECT ANSWERS: A Preload is impacted by: A. Mean arterial pressure B. Increased filling volumes C. Ejection fraction CORRECT ANSWERS: B A patient with untreated hypertension would demonstrate: A. Increased afterload B. Decreased afterload C. Decrea...

Stroke Volume (SV) is? a. related to preload b. related to afterload c. the same as ejection fraction CORRECT ANSWERS: a. related to preload Preload is most impacted by? a. mean arterial pressure b. increased filling volumes c. ejection fraction CORRECT ANSWERS: b. increased filling volumes A patient with chronic untreated hypertension would demonstrate? a. increased afterload b. decreased aferload c. decreased preload CORRECT ANSWERS: a. Increased afterload Vascular r...

Poiseuille's Law - doulble the catheter lenght then you should CORRECT ANSWERS: Double the injection pressure. Angiographic flood catheters the injector pressure should not exceed...... CORRECT ANSWERS: 1200 psi Which catheter wires are less kink resistant... CORRECT ANSWERS: NITINOL core to tip wires Platinum is valuable in an angioplasty wire because of its .... CORRECT ANSWERS: Radiopacity Visible in the coronary. An elderly pt with a hx of frequent pericarditis and angina n...

Which component of the X-Ray system converts light rays into images? CORRECT ANSWERS: Photon tube Lidocaine converts from 2gm in 500cc to. CORRECT ANSWERS: 4mg in 1cc Dopamine concentration 1600 mcg/ml in 250 cc yields a concentration of CORRECT ANSWERS: 400 mg in 250 cc What is the formula for calculating SVR CORRECT ANSWERS: Mean AO - Mean RA / CO In the formula BP = HR x SV x SVR, Dobutamine acts as an ____________, to _______________ by increasing ______________ CORRECT ANSW...

QP=pulmonary flow/QS=systemic flow= (AO sat - mixed venous sat)/ (Pulmonary vein sat - PA sat) CORRECT ANSWERS: Shunt equation [(AO mean-RA mean)/CO]x80 CORRECT ANSWERS: systemic vascular resistance (SVR) Dynes (125xBSA)/(AO sat- PA sat) x (Hgb x 1.34) x 10 CORRECT ANSWERS: Fick CO output (CO/SEPxHR)/(44.3x √mean gradient) CORRECT ANSWERS: Gorlin Aortic Valve area (CO/DFPxHR)/(37.7x√mean gradient) CORRECT ANSWERS: Gorlin Mitral Valve area CO/√Peak to peak gradient COR...