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Glowacki and Sommers RCIS Prep and Review Spring 2024
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Glowacki and Sommers RCIS Prep and Review Spring 2024
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Glowacki and Sommers RCISPrep and Review Spring 2024
What is the normal ragne of potassium in the blood? - -3.5-5.0
-Name some antiplatelet medications - -ASA, Plavix, Brillinta, Effient,
Integrelin, ReoPro (Heparin is NOT an antiplatelet)
-Adenosine Causes - -Maximum hyperemia
-When a patient has a vaso-vagal reaction, what do you see? - -BP
decreases
HR Decreases
SV Decreases
-When a patient has a vasovagal reaction what do you do? - -Give fluids
Trendelenburg position
Atropine 0.5 mg-1 mg IV push
-If a patient has a high creatinine, what should you consider - -Pre-
procedure fluid hydration
Use as small amount of contrast as possible (3mL/kg OR 3x the GFR)
-How does heparin prevent clot formation - -Heparin prevents the
conversion of prothrombin to thrombin
Heparin combines with antithrombin to make it more effective
-What is the initial dose of Versed for sedation? - -0.5 mg-1 mg
-What is the action of Reopro - -Reopro inhibits IIb/IIIa receptors
-INR measures the level of which drug - -Coumadin
-Most common access point to perform a myocardial biopsy? - -Right
Internal Jugular Vein
-What are the landmarks to perform an IJ Access? - -The IJ lies between the
medial and lateral heads of the sternocleidomastoid muscle and lateral to
the carotid artery
-Lovenox impacts what - -Antithrombin and Factor Xa
-What might be the medication of choice for SVT? - -Adenosine
, -What short acting benzodiazepine is commonly used in the cath lab for
sedation? - -Versed (Midazolam)
-Steps to place a distal protection device - -1. place the device distal to the
lesion
2. Cross the lesion with the stent/balloon
3. deploy the stent
4. remove the stent balloon
5. remove the protection device
-How do you check a patients' clotting time after being given heparin? - -
ACT
If ACT is not an option, draw a PTT
-Prior to a proocedure, what info must be found on the patient's chart? - -
H&P within 30 days
Informed consent form
Specific Cath lab procedure order
-How does Plavix act? - -Plavix turns off receptor sites on the platelets
(super-aspirin)
-If a patient is on NPH insulin, what medication should not be given - -
Protamine
-Which procedures require venous access - -ASD/PFO closure
Mitral Valve clip
Watchman
Mitral valvuloplasty
Right Heart Cath
Heart Biopsy
Permanent Pacemaker
Temporary Pacemaker
A-fib ablation/EP
ICE Catheter
-Which procedures require arterial access? - -LHC
Coronary intervention
TAVR
Impella
IABP
-What does ASA (aspirin) do - -ASA prevents platelet adhesion
-TPA acts by? - -Dissolving fibrin
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