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Add to cartImmediately after crossing a septum in transseptal access, what do you do?
Give heparin. We want no clots to form, and this will keep clots off of the wire, device, etc.
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What are the complications of transseptal access?
Clots, air embolus, tamponade, aortic wall puncture.
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On the New York Heart Failure classification, is a patients capacity better at level 1 or level 4?
When do we tend to see vaso-vagal reactions, and what should we do?
When placing the sheath. Give them fluids to increase volume and administer .5mg of atropine. Protect the airway if needed.
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What do we use to pretreat a contrast allergy?
Prednisone the night before and Benadryl before the procedure.
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Create quizThis set of 64 comprehensive study questions and answers covers various aspects of transseptal access, complications, procedural protocols, and post-procedural care in the cath lab. These questions are designed to help medical professionals and students prepare for exams and practical scenarios in cardiac catheterization and related procedures.
Immediately after crossing a septum in transseptal access, what do you do?
Give heparin. We want no clots to form, and this will keep clots off of the wire, device, etc.What are the complications of transseptal access?
Clots, air embolus, tamponade, aortic wall puncture.What TIMI flow are we aiming for in the cath lab?
TIMI 3.What Aldrete score allows a patient to leave the cath lab?
Aldrete must be at least an 8.On the New York Heart Failure classification, is a patients capacity better at level 1 or level 4?
Level 1 is better than level 4.When do we tend to see vaso-vagal reactions, and what should we do?
When placing the sheath. Give them fluids to increase volume and administer .5mg of atropine. Protect the airway if needed.What do we use to pretreat a contrast allergy?
Prednisone the night before and Benadryl before the procedure.What should be monitored if a patient is on Lasix?
Potassium (K) level.What is the procedure for picking up a patient?
What two things should an RCIS check first when coming into the lab?
How do you open packages?
Which side do you drape a patient on first?
True or False: You should locate the pulses prior to draping.
What is used to sterilize equipment?
What is the solution used to hold cardiac biopsy samples?
What septum does the LAD run down?
True or False: The Cx and RCA go through the right and left atrioventricular grooves.
What does the coronary sinus do?
What is the innermost layer of the heart?
What is the thick middle layer of the heart?
Which heart layer has electrical properties and can conduct electrical impulses?
What is the pericardium?
What is the outer protective layer of the heart?
What layer of the heart do coronary arteries arise in?
Label this image.
What is the S1 heart sound?
What is the S2 sound?
What are the signs of a stroke?
What is the difference between TIMI 0 and TIMI 3 flow?
How do you do an LV angiogram on a stenotic Ao valve?
When using an injector for an LV gram, what do the three numbers mean?
What does setting a rate of rise on an injector do?
What are the steps to a myocardial biopsy?
At what level do you keep a Foley catheter at all times, including transferring from bed to table?
When do we use distal protection devices?
When using a cutting or scoring balloon, what are we doing?
Who wears glasses in a laser case?
What happens to a lesion when using a laser?
What is the best location for TVP (transvenous pacing)?
How do you retrieve a foreign body?
What is the proper heparin dose?
What is the minimum amount of time following giving heparin that you can check an ACT?
When do you use an Impella device?
What are contraindications to Impella?
Post-procedure care includes what steps?
How often are vital signs completed post-cath?
If a patient has a hematoma, should you compare it to a fruit? True or False.
When calling a report to a receiving nurse, what do you tell them?
What is the first thing you do when cleaning the room?
Where do you hold manual pressure when removing an arterial sheath?
What are some times that you would use a temporary pacemaker?
What are the steps when temporary pacing is required?
What are examples of passive closure devices?
What are examples of active closure devices?
What is the purpose of giving heparin immediately after crossing the septum in transseptal access?
Name a complication that can arise from transseptal access.
What is the goal TIMI flow in the cath lab?
Define an Aldrete score that allows patient discharge from the cath lab.
Which New York Heart Failure classification indicates better patient capacity, level 1 or level 4?
What should be done to manage a vaso-vagal reaction during sheath placement?
How do you pretreat a patient with a contrast allergy?
What electrolyte should be monitored in a patient on Lasix?
What are the initial steps when picking up a patient for a procedure?
What should an RCIS check first upon entering the lab?