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