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Exam (elaborations)

Glowacki and Sommers RCIS Prep and Review Spring 2024 latest update

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Glowacki and Sommers RCIS Prep and Review Spring 2024 latest update

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  • September 16, 2024
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Sanchy062
Glowacki and Sommers RCIS Prep and
Review Spring 2024

What is the normal ragne of potassium in the blood? - correct answer ✔✔3.5-5.0



Name some antiplatelet medications - correct answer ✔✔ASA, Plavix, Brillinta, Effient, Integrelin, ReoPro
(Heparin is NOT an antiplatelet)



Adenosine Causes - correct answer ✔✔Maximum hyperemia



When a patient has a vaso-vagal reaction, what do you see? - correct answer ✔✔BP decreases

HR Decreases

SV Decreases



When a patient has a vasovagal reaction what do you do? - correct answer ✔✔Give fluids

Trendelenburg position

Atropine 0.5 mg-1 mg IV push



If a patient has a high creatinine, what should you consider - correct answer ✔✔Pre-procedure fluid
hydration

Use as small amount of contrast as possible (3mL/kg OR 3x the GFR)



How does heparin prevent clot formation - correct answer ✔✔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? - correct answer ✔✔0.5 mg-1 mg

,What is the action of Reopro - correct answer ✔✔Reopro inhibits IIb/IIIa receptors



INR measures the level of which drug - correct answer ✔✔Coumadin



Most common access point to perform a myocardial biopsy? - correct answer ✔✔Right Internal Jugular
Vein



What are the landmarks to perform an IJ Access? - correct answer ✔✔The IJ lies between the medial
and lateral heads of the sternocleidomastoid muscle and lateral to the carotid artery



Lovenox impacts what - correct answer ✔✔Antithrombin and Factor Xa



What might be the medication of choice for SVT? - correct answer ✔✔Adenosine



What short acting benzodiazepine is commonly used in the cath lab for sedation? - correct answer
✔✔Versed (Midazolam)



Steps to place a distal protection device - correct answer ✔✔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? - correct answer ✔✔ACT

If ACT is not an option, draw a PTT



Prior to a proocedure, what info must be found on the patient's chart? - correct answer ✔✔H&P within
30 days

Informed consent form

Specific Cath lab procedure order

, How does Plavix act? - correct answer ✔✔Plavix turns off receptor sites on the platelets (super-aspirin)



If a patient is on NPH insulin, what medication should not be given - correct answer ✔✔Protamine



Which procedures require venous access - correct answer ✔✔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? - correct answer ✔✔LHC

Coronary intervention

TAVR

Impella

IABP



What does ASA (aspirin) do - correct answer ✔✔ASA prevents platelet adhesion



TPA acts by? - correct answer ✔✔Dissolving fibrin

Activates Plasminogen



Which procedures require the use of ICE catheter? - correct answer ✔✔ASD/PFO

Mitral Valvuloplasty

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