Glowacki & Sommers RCIS Review Notecards | with complete solution

Glowacki & Sommers RCIS Review Notecards | with complete solution What is the normal range of potassium (K+) in the blood? - Normal K+ = 3.5-5.0 Potassium 3.5 = Hypokalemia Potassium 5.0 = Hyperkalemia Name some antiplatelet medications? - ASA, Plavix, Brillenta, Effient, Integrelin, Reopro Remember: Heparin is NOT an antiplatelet If a patient has a high creatinine, what should you consider? - Use as a small amount of contrast as possible Pre-procedure fluid hydration 3 mL/kg 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 action of Reopro? - Reopro inhibits IIb/IIIa receptors INR measures the levels of which drug? - Coumadin 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 What is a quick and easy way to check a patients clotting time after being given heparin? - ACT 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 What does ASA (aspirin) do? - ASA prevents platelet adhesion TPA acts by? - Dissolving fibrin Activates Plasminogen What labs look at kidney function? - BUN and Creatinine GFR Creatinine clearance The most accurate measure of cardiac muscle fiber damage after an MI is what? - Troponin Which lab value does not evaluate the extent of an MI? -SGOT -Serum Creatinine -CK-MB -LDH - Serum Creatinine Post procedure renal dysfunction is more likely to occur in patients with? - -Diabetes -Pre-procedure dehydration -Frequent use of NSAID -Ace Inhibitors What is a pseudoaneurysm? - Pseudoaneurysm is a false aneurysm Often a pulsatile mass near the sheath site with a bruit present If the transducer is positioned to low at the side of the table, the pt.'s pressure will read? - The pressure will read as falsely high If you are checking the radial/ulnar pulse when you press and release one at a time this is called what kind of test? - Allen's Test Allen's Test is always performed prior to using the radial approach for a procedure What is the best way to calculate a patients pulse rate? - Check pulse for one minute If the patients IV site is infiltrated, what should you do? - Turn it off Metabolic Acidosis has a low level of what? - Bicarbonate (HCO3) A pH less than 7.35 or greater than 7.45 is called what? - Uncompensated What would be the appropriate intervention for a patient with Respiratory Acidosis? - Increase Ventilations The primary drive to breathe comes for the patient's? - CO2 Level Hyperventilating a patient prior to auctioning is done to? - Increase arterial PO2 Interpret the following blood gas: -pH = 7.25 -CO2 = 60 -HCO (bicarb) = 22 - -Uncomensated -Respiratory -Acidosis A high CO2 will impact the pH how? - It will lower the pH Increased bicarb will do what to the pH? - Elevated HCO3 will increase the pH What is the most common form of cardiac tumor? - Atrial Myxoma located in the left atrium The innermost layer of an artery is what? - The intima What type of intervention is best used for a calcified lesion? - Rotoblator (calcified, key word) What type of balloon is best used on a calcified lesion? - Cutting/Scoring Balloon The symptoms of increased heart rate, decreased BP, and SOB during a biopsy and indicate what? - Cardiac Perforation What diagnostic catheter is best utilized for visualizing the LAD when the patient has a dilated aortic root? - JL5 2.66 mm diameter is what size catheter? - 8 Fr What device used saline to dissolve and suction thrombus during and acute MI? - Angiojet During a Rotoblator intervention, what is the most common cause of "no Flow?" - Distal Emolization