Glowacki & Sommers RCIS Prep & Review Exam Questions And Answers
What is the normal range of potassium (K+) in the blood? - ANS 3.5-5.0
• Potassium < 3.5 = hypokalemia
• Potassium >5.0 = Hyperkalemia
Name some antiplatelet medications'? - ANS • ASA, Pla...
What is the normal range of potassium (K+) in the blood? - ANS 3.5-5.0
• Potassium < 3.5 = hypokalemia
• Potassium >5.0 = Hyperkalemia
Name some antiplatelet medications'? - ANS • ASA, Plavix, Brillenta, Effient, Integrelin,
Reopro
(Remember - Heparin Is NOT an antiplatelet)
Adenosine causes - ANS Maximum hyperemia
When the patient has a vasovagal reaction, what do you see? - ANS • BP decreases
• HR decreases
• SV decreases
When a patient has a vasovagal reaction what do you do? - ANS • Give fluids
• Trendelenburg position
• Atropine .5mg-Img IV push
It a patient has a high creatinine, what should you consider? - ANS • Pre-procedure fluid
hydration
• Use as small amount of contrast as possible
• 3ml/kg OR 3 times the GFR
How does heparin prevent clot formation? - ANS • 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? - ANS 0.5mg - 1mg
What is the action of Reopro? - ANS Reopro inhibits lIb/Illa receptors
INR measures the levels of which drug? - ANS Coumadin
, Most common access point to perform a myocardial biopsy? - ANS Right Internal Jugular
Vein (IJ)
What are the landmarks to perform and IJ access? - ANS The IJ lies between the medial
and lateral heads of the sternocleidomastoid muscle and lateral to the carotid artery
Lovenox impacts what? - ANS Antithrombin and Factor Xa
What might be the medication of choice for SVT? - ANS Adenosine
What short acting benzodiazepine is commonly used in the cath lab for sedation? - ANS
Versed (Midazolam)
Steps to place a distal protection device - ANS 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 alter being given heparin? - ANS • ACT
• If ACT option is not available, draw a PTT
Prior to a procedure, what information must be found on the patient's chart? - ANS • H&P
within 30 days
• Informed consent form
• Specific Cath lab procedure order
How does Plavix act? - ANS Plavix turns off receptor sites on the platelets (super-aspirin)
If a patient is on NPH Insulin, what medication should not be given? - ANS Protamine
Which procedures require arterial access? - ANS • Left heart cath
• Coronary intervention
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