Complications & Post Procedure

Question 1

Non- cancerous SVC obstruction is usually caused by?

Answer 1

Indwelling pacer leads

Question 2

Drop in blood pressure during ablation may be indicative of what complication?

Answer 2

Cardiac Tamponade

Question 3

When does pericardial effusion become pericardial tamponade

Answer 3

When cardiac compression begins

Question 4

How should a patient be positioned for pericardiocentiesis?

Answer 4

Propped up about 45 degrees

Question 5

Where is the pericardiocentesis puncture site?

Answer 5

Subxyphoid

Question 6

During pericardiocentesis how long do you continue to aspirate fluid?

Answer 6

Until you can no longer aspirate fluid

Question 7

Low atrial blood pressure, distended neck veins, and distant heart sounds are indicative of what?

Answer 7

Pericardial tamponade

Question 8

What is the earliest symptom of pericardial tamponade?

Answer 8

chest pain

Question 9

What kind of guidances are used during a pericardiocentesis?

Answer 9

Fluoro & 2 dimensionale echo

Question 10

Pallor, Fall in BP, tachycardia, and abdominal pain, and back pain are all symptoms of what?

Answer 10

Retroprtitoneal hematoma

Question 11

What is a comfort measure for back pain after post venous sheath removal?

Answer 11

Pillow under knees

Question 12

What is the most common heart chamber to be perforated?

Answer 12

Right Ventricle

Question 13

Painful pulsatile mass below the skin at the femoral artery puncture site. Femoral artery bruit can be heard with a stethoscope. What is the most likely complication?

Answer 13

False aneurysm

Question 14

What do you need to do in order to rule out a pneumothorax prior to discharge following PPI?

Answer 14

Chest X-ray

Question 15

What are ways to prevent atria-esophageal fistula furring PVI?

Answer 15

Mark with electroanatomical mapping systems, monitor internal temp with probe, Mark with contrast

Question 16

What are the two most common complications for PVI?

Answer 16

PV Stenosis and Cardiac Tamponade

Question 17

What is the chief signs of Phrenic nerve damage?

Answer 17

Dyspnea

Question 18

Do most patients recover from phrenic nerve damage?

Answer 18

Yes

Question 19

Phrenic nerve damage is most common when ablating where?

Answer 19

Right superior PV

Question 20

Cough, SOB, palpitations are all signs of what?

Answer 20

Phrenic nerve damage

Question 21

Where to hold pressure for a venous sheath pull?

Answer 21

on the puncture site with 2-3 fingers

Question 22

Where do you hold pressure for an arterial sheath pull?

Answer 22

Just above the site with 2-3 fingers

Question 23

If you have a venous sheath and an arterial sheath which do you pull first?

Answer 23

Arterial Sheath

Question 24

What are the typical instructions post PPI?

Answer 24

Dont get incision site wet, Dont lift heavy objects, lay flat

Question 25

What are post procedure instructions after a catheterization?

Answer 25

Keep head down, hold groin when coughing, keep puncture leg straight

Question 26

What things should be included in a hand off to the nurse?

Answer 26

Arrhythmias induced, foley urine output, meds administered, Baseline vitals

Question 27

Cool pale skin, low and dropping BP, Nausea, Bradycardia are all signs of what?

Answer 27

Vasovagal response

Question 28

Venous Trama, Vein Dissection, Contrast- induced nephropathy (rise in serum creatine) are all signs of what?

Answer 28

Complications oc CS venograph