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RCIS 2022 Glowacki & Sommers updated already passed
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RCIS 2022 Glowacki & Sommers1. What is the normal range of Potassium (K+) in the blood? - correct answer ✔✔3.5 - 5.O
2. What is the name for Potassium <3.5 - correct answer ✔✔Hypokalemia
3. What is the name for Potassium >5.0 - correct answer ✔✔Hyperkalemia
4. Name some Antiplatelet meds - correct answer ✔✔ASA, Plavix, Brillenta, Effient, Integrelin, and
Reopro
5. Adenosine causes what - correct answer ✔✔Max Hyperemia
6. When the patient has a vasovagal reaction, what do you do? - correct answer ✔✔Give Fluids
Trendelenburg position
Atropine .5mg- 1mg IV push
7. When a patient has a vasovagal reaction, what do you see? - correct answer ✔✔BP Decreases
HR Decreases
SV Decreases
8. If a patient has a high Creatinine, what should you consider? - correct answer ✔✔Pre-Op Fluid
Hydration
Use as small amount of contrast as possible
:3Ml/Kg or 3 times the GFR
9. How does heparin prevent clot formation? - correct answer ✔✔by preventing the conversion of
prothrombin to thrombin
Heparin combines with antithrombin to make it more effective
,10. What is the initial dose of Versed for Sedation? - correct answer ✔✔.5 mg - 1mg
11. what is the action of Reopro? - correct answer ✔✔Reopro inhibits IIb/IIIa receptors
12. INR measures the levels of which drug? - correct answer ✔✔Coumadin
13. Most commjon access point to perform a myocardial biopsy? - correct answer ✔✔R IJ
14. What are the landmarks to preform an IJ access? - correct answer ✔✔the IJ lies between the medial
and lateral heads of the sternocleidomastoid muscle and lateral to the carotid artery
15. Lovenox impacts what? - correct answer ✔✔Antithrombin and Factor Xa
16. What might be the medication of choice for SVT? - correct answer ✔✔Adenosine
17. What short acting benzodiazepine is commonly used in the cath lab for sedation? - correct answer
✔✔Versed (Midazolam)
18. Steps to place a distal protection device? - correct answer ✔✔1. place the device distal to the lesion
2.cross the lesion with stent/ balloon
3.deploy the Stent
4.remove stent balloon
5.remove the protection device
19. how to you check a patient's clotting time after being given heparin? - correct answer ✔✔ACT
If not available, draw PTT
20. Prior to a procedure, what information must be found on the patient's chart? - correct answer
✔✔H&P with 30 days
,Informed consent
specific cath lab procedure order set
21. How does plavix act? - correct answer ✔✔Plavix turns off receptor sites on the platelets (super-
aspirin)
22. If a patient is on NPH insulin, what medication should not be given? - correct answer ✔✔Protamine
23. which procedure require venous access? - correct answer ✔✔ASD/PFO
Mitral Clip
Watchman
Mitral Valveplasty
Right heart cath
heart biopsy
permanent pacemaker
temporary pacemaker
afib ablation/EP
ICE catheter
24. Which procedure require arterial access? - correct answer ✔✔Left heart cath
PCI
TAVR
Impella
IABP
25. What does ASA do? - correct answer ✔✔ASA prevents platelet adhesion
26. TPA acts by? - correct answer ✔✔Dissolving fibrin
Activates Plasminogen
, 27. Which procedures require the use of the ICE catheter - correct answer ✔✔ASD/PFO
Mitral Valvuloplasty
Mitral Valve Clip
EP Ablations
In place of TEE in TAVR
28. What labs look at kidney function? - correct answer ✔✔BUN and Creatinine
GFR
Creatinine clearance
29. The most accurate measure of cardiac muscle fiber damage after an MI is what? - correct answer
✔✔Troponin
30. Which lab value does not evaluate the extent of an MI?
SGOT
bSerum Creatinine
CK-MB - correct answer ✔✔Serum creatinine
31. Post procedure renal dysfunction more likely to occur in patients with? - correct answer ✔✔DM
Pre-op dehydration
Frequent use of NSAID
Ace Inhibitors
32. What may cause cancellation of an elective cath lab procedure? - correct answer ✔✔Increased
WBC's
Low potassium
Increased INR
Anemia (low hgb and hct)
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