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Glowacki & Sommers RCIS Review Notecards
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Glowacki & Sommers RCIS Review NotecardsWhat is the normal range of potassium (K+) in the blood? Correct Ans -
Normal K+ = 3.5-5.0
Potassium < 3.5 = Hypokalemia
Potassium > 5.0 = Hyperkalemia
Name some antiplatelet medications? Correct Ans - ASA, Plavix,
Brillenta, Effient, Integrelin, Reopro
Remember: Heparin is NOT an antiplatelet
If a patient has a high creatinine, what should you consider? Correct Ans -
Use as a small amount of contrast as possible
Pre-procedure fluid hydration
3 mL/kg
How does heparin prevent clot formation? Correct Ans - Heparin
prevents the conversion of prothrombin to thrombin
Heparin combines with antithrombin to make it more effective
What is the action of Reopro? Correct Ans - Reopro inhibits IIb/IIIa
receptors
INR measures the levels of which drug? Correct Ans - Coumadin
Lovenox impacts what? Correct Ans - Antithrombin and Factor Xa
What might be the medication of choice for SVT? Correct Ans -
Adenosine
What short acting benzodiazepine is commonly used in the cath lab for
sedation? Correct Ans - Versed - Midazolam
, What is a quick and easy way to check a patients clotting time after being
given heparin? Correct Ans - ACT
How does Plavix act? Correct Ans - Plavix turns off receptor sites on
the platelets (super-aspirin)
If a patient is on NPH Insulin, what medication should not be given?
Correct Ans - Protamine
What does ASA (aspirin) do? Correct Ans - ASA prevents platelet
adhesion
TPA acts by? Correct Ans - Dissolving fibrin
Activates Plasminogen
What labs look at kidney function? Correct Ans - BUN and Creatinine
GFR
Creatinine clearance
The most accurate measure of cardiac muscle fiber damage after an MI is
what? Correct Ans - Troponin
Which lab value does not evaluate the extent of an MI?
-SGOT
-Serum Creatinine
-CK-MB
-LDH Correct Ans - Serum Creatinine
Post procedure renal dysfunction is more likely to occur in patients with?
Correct Ans - -Diabetes
-Pre-procedure dehydration
-Frequent use of NSAID
-Ace Inhibitors
What is a pseudoaneurysm? Correct Ans - Pseudoaneurysm is a false
aneurysm
Often a pulsatile mass near the sheath site with a bruit present
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