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RCIS > Anatomy and Tools > Flashcards

Anatomy and Tools Flashcards

1
Q

T/F: Most common graphs to the LCA arise from the LEFT anterior surface of the aorta.

A

True

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2
Q

T/F: In patients with a short or narrow aortis root, a 3.5 mm tip catheter may be needed?

A

True

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3
Q

Right Atrium is?

2 things

A

Tricuspid is largest Valve
&
Has the lowest pressure

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4
Q

Pressure of Rt Atrium

A

Pressure = 5

RV is about 25/RA

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5
Q

Normal RV pressure?

A

25 / 7-12

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6
Q

Normal BP calculation?

2

A

CO x SVR

HR x SV x SVR

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7
Q

What would increase RA Pressure?

If the pressure would rise, where would this be visible on a patient?

A

Tricuspid stenosis

Jugular Enlargement

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8
Q

In an RV MI :
What is the RV pressure?
What is the PA pressure?

A

25/5 normal

PA would not change

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9
Q

What would cause LV systolic pressure to rise?

A

Aortic Stenosis

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10
Q

***What would increase LVEDP and not LV systolic pressure?

A

LV MI

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11
Q

What is the RV systolic pressure of PS?

A

^ 25 in pressure.

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12
Q

What is the RA pressure of TR (tricuspid regurg)?

A

Right sided
Pressure will rise^
JVD = true.

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13
Q

What is the PA pressure of COPD?

A

Pressure is 30
Expansion of Aviolar curus blood vessels
CO = \/

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14
Q

What is the PA pressure of MS?

A

LA Enlargement Chronic = rise

Acute = same

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15
Q

What is the PA pressure of MR?

A

La enlargement chronic = rise

acute = same

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16
Q

Could the PA systolic pressure ever be greater than RV systolic pressure?

A

NEVER

It would back up into the RV.

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17
Q

RA – RV

Ra will always protect the Lungs from the rise of pressure.

A

read and know
What is it doing ( look forward)
What are the effects ( look back)

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18
Q

Is the LVEF = RVEF

A

The pressures are the different
EF = same
SV = same

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19
Q

Which valve has the smallest valve area?

A

Aortic valve

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20
Q

If there is a valve stenosis or regurg, which CO should you use?

A

Fick CO

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21
Q

You have a 50 year old admitted to the cath lab . HR 200, BP 90 / 50, what would you do?

A

Synchronized Cardioversion

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22
Q

In what condition do you get the equalization of LVEDP and RVEDP?

A

Constrictive Pericarditis

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23
Q

Pulmonic stenosis is generally associated with what?

A

Congenital Anomalities

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24
Q

What is the max dose of radiation a worker can revieve in a year?

A

5 REM

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25
Q

If a patient has a dilated aortic root, which catheter might you need to cannulate the right coronary system?

A

JR5

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26
Q

In the terms RAO and LAO, the R and the L refer to what?

A

the position of the image intensifier

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27
Q

Synchonous ( demand) pacemakers have what unique ability?

A

they sense the hearts intrinsic activity and pace only when needed.

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28
Q

What is a possible complication of over tightening the toughy?

A

Unable to inflate the balloon

29
Q

Shortness of breath indicates right or left sided heart failure?

A

Left-sided heart failure

30
Q

2.66mm diameter is what size catheter?

A

8 french

1 french = .335mm

31
Q

What type of intervention is used for a calcified lesion?

A

Rotoblador ( calcified)

32
Q

What would be the appropriate intervention for a patient with Respiratory Acidosis?

A

Increase Ventilations

33
Q

What is a possible complication of over tightening the Toughy?

A

Unable to inflate the balloon

34
Q

Where does the needle enter for a Pericardialcentesis?

A

Sub-Xyphoid process

35
Q

During a Rotoblador intervention, what is the most common cause of “no Flow” ?

A

Distal Embolization

36
Q

What device uses saline to dissole and suction Thrombus during and acute MI?

A

Angiojet

37
Q

Synchronous (demand) pacemakers have what unizue ability?

A

They sense the hearts intrinsic activity and pace only when needed.

38
Q

The purpose of ICD’s is to?

A

Monitor Bradycardia, Tachycardia, VT, and V-fib and convert if needed.

39
Q

The Purpose of Bi-Ventricular pacemakers are to?

A

To synchronize the contraction of both Ventricles.

40
Q

What is the most common form of cardiac tumor?

A

Atrial Myxoma located in the left atrium.

41
Q

On an EKG, what shows a true Posterior Infarct?

A

V7-V9, V1 and V2

42
Q

What is ACLS protocol for monophasic defibrillation?

A

200 - 300 - 360

43
Q

How do you test a defibrillator?

A

Discharging paddles into the dummy load.

44
Q

What will cause failure to capture of pacemaker in the RV?

A

Lead Dislodgement.

45
Q

The most important factor in decreaseing x-ray exposure to a patient is to ?

A

to decrease time of exposure.

46
Q

Where is the most common Renal Stenosis located?

A

Ostial

47
Q

Greatest % of Peripheral Stenosis occurs where?

A

Lower Extremities

48
Q

What is the best choice of catheter to use on a LCA with a high take-off?

A

Amplatz

49
Q

Metabolic Acidosis has a low level of what?

A

Bicarb (HCO3)

50
Q

If the patients IV site is infiltrated, what should you do?

A

Turn it off

51
Q

Ventricular Arrythmias are most common during the injection of which coronary artery?

A

RCA

52
Q

What catheter does an Internal Mammary catheter Resamble?

A

JR4

53
Q

What is the best view to see the LAD and CIRC Bifurcation?

A

Spider View

54
Q

What diagnostic catheter is best utilized for visualizing the LAD when the patient has a Dilated Aortic Root?

A

JL5

55
Q

What converts the x-rays to light rays?

A

image intensifier

56
Q

What does RAD stand for?

A

Radiation Absorbed Dose

57
Q

What is the max dose of radiation a worker can recieve in a year?

A

5 REM

58
Q

When are the coronary arteries perfused?

A

During Ventricular Diastole

59
Q

Jugular Vein Distention can be caused by?

A
  • RV Infarct
  • Pulmonary Hypertension
  • Tricuspid Regurgitation
60
Q

What is the best way to calculate a patients pulse rate?

A

Check pulse for one minute.

61
Q

Hyperventilating a patient prior to suctioning is done to?

A

Increase Arterial PO2 levels

62
Q

Post Procedure Renal Dyfunction is more likely occur in patients with?

A
  • Diabetes
  • Pre-Procedure Dehydration
  • Frequent use of NSAID
  • Ace Inhibitors
63
Q

What is the normal PR interval?
If the PR interval is .25 Where is the delay?
conduction

A

Normal PR interval .12 - .20

PR interval > .20, the conduction delay occurs in the AV node.

64
Q

What is the normal amount of blood in the Pericardium?

A

50 cc

65
Q

In order, The first three letters of the pacemaker code mean what?

A

1 - Chamber Paced
2 - Chamber Sensed
3 - Chamber Triggered

66
Q

What is the purpose of the IABP?

A

Increase Coronary artery perfusion

Decrease after load

67
Q

If a patient has a heart rate of 150, assist on the IABP should be set at what?

A

1:2

68
Q

A PDA ( Patent ductus arteriosus) most likely causes?

A

increased Pulmonary blood flow and possible pulmonary edema.

RCIS (5 decks)

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