Glowacki and Sommers RCIS Prep and Review Spring 2024
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Glowacki & Sommers
Glowacki and Sommers RCIS Prep and Review Spring 2024
What is the normal ragne of potassium in the blood? - ANS 3.5-5.0
Name some antiplatelet medications - ANS ASA, Plavix, Brillinta, Effient, Integrelin, ReoPro (Heparin is NOT an antiplatelet)
Adenosine Causes - A...
Glowacki and Sommers RCIS Prep and
Review Spring 2024
What is the normal ragne of potassium in the blood? - ANS 3.5-5.0
Name some antiplatelet medications - ANS ASA, Plavix, Brillinta, Effient, Integrelin,
ReoPro (Heparin is NOT an antiplatelet)
Adenosine Causes - ANS Maximum hyperemia
When a patient has a vaso-vagal 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 0.5 mg-1 mg IV push
If 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 3x 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 0.5 mg-1 mg
What is the action of Reopro - ANS Reopro inhibits IIb/IIIa receptors
INR measures the level of which drug - ANS Coumadin
Most common access point to perform a myocardial biopsy? - ANS Right Internal Jugular
Vein
What are the landmarks to perform an 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 after being given heparin? - ANS ACT
If ACT is not an option, draw a PTT
Prior to a proocedure, what info 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 venous access - ANS 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? - ANS LHC
Coronary intervention
TAVR
Impella
IABP
What does ASA (aspirin) do - ANS ASA prevents platelet adhesion
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