INTERVENTIONAL RESOURCES & SUPPLIES

Question 1

Name the components of a sterile pack

Answer 1

• 4x4 sterile gauze
• syringe
• Percutaneous needle
• Stylet & obturator
• Scalpel
• Adapters
• Stopcocks
• Manifolds
• Waste Management Lines & Bags
• Sterile bins
• Drapes, towels, & tray cover
• Heparinized saline
• Sharps container
• Contaminated waste container
• Contrast Media
• Vessel Dilators & introducer sheath
• Safety Products

Question 2

What is a sterile gauze?

Answer 2

type of thin fabric with a very open weave

Question 3

Purpose of a sterile gauze

Answer 3

1. Use to protect open wounds
2. Absorb bodily fluids
3. For cleaning other instruments used during the procedure

Question 4

It is designed to introduce a drug into the body

Answer 4

syringe

Question 5

What are the parts of the syringe?

Answer 5

Plunger, Barrel, Hub

Question 6

Part of the syringe that is used to fill or empty the barrel with fluid

Answer 6

Plunger

Question 7

Part of the syringe that contains fluid

Answer 7

Barrel

Question 8

The Hub, which is part of the syringe, is designed for?

Answer 8

lock the needle in place while using the syringe

Question 9

another term for percutaneous needle

Answer 9

Percutaneous entry needle

Question 10

Parts of the percutaneous needle

Answer 10

Cannula, Hub, Baseplate

Question 11

Part of the percutaneous needle that is a long hollow tube through which CM, blood, guidewire or other materials will pass

Answer 11

Cannula

Question 12

The hub that is part of the needle is for what?

Answer 12

permits attachment of a syringe/other equipment to the needle

Question 13

What is the baseplate for in the percutaneous needle?

Answer 13

facilitates the puncture by allowing the angiographer to grasp the needle more securely

Question 14

This is the measure of the size of the needle

Answer 14

Gauge

Question 15

What is the rule for the gauge sizes?

Answer 15

The higher the gauge, the smaller the inner diameter of the needle lumen

Question 16

What is the smallest gauge size?

Answer 16

14

Question 17

What is the safest gauge size for the IV insertion

Answer 17

18

Question 18

It is the measure from the tip of the cannula to the point where the cannula meets the hub

Answer 18

Length

Question 19

What are the common length of arterial needles?

Answer 19

2 1/8 inches and 3 1/4 inches

Question 20

What is the thickness?

Answer 20

Refers to the walls of the cannula

Question 21

What are the classifications of needles?

Answer 21

thin walled and regular walled needle

Question 22

It is solid, has cutting edge and inserted into the cannula of the needle

Answer 22

Stylet

Question 23

It is made of solid metal and prevents backflow of blood through the needle

Answer 23

Obturator

Question 24

This is small and extremely sharp bladed instrument

Answer 24

Scalpel

Question 25

What si the purpose of the scalpel

Answer 25

Used to cut tissue with less trauma than any other instrument

Question 26

What is the function of an adapter

Answer 26

connect one accessory equipment to the other

Question 27

What materials can the adapter be made of?

Answer 27

plastic/metal

Question 28

What are the classifications of adapters?

Answer 28

Male & female

Question 29

What is the function of a stopcock?

Answer 29

Controls the flow of fluid from one area to the other

Question 30

Classifications of stopcocks

Answer 30

male & female

Question 31

2 types of stopcocks

Answer 31

2-way and 3-way

Question 32

Difference between a 2-way & 3-way stopcock

Answer 32

2-way - allows the flow of fluid to and from two items 3-way - allows the flow of fluid to and from three items

Question 33

These are a series of stopcock attached to one another

Answer 33

Manifolds

Question 34

What are the purposes of waste management lines & bags?

Answer 34

1. Facilitates the safe collection of fluid waste 2. Also allows the administration of saline and contrast solutions 3. Minimizes contact with infectious blood and bodily fluids 4. Leak-resistant dual check valves make disposal clean and easy

Question 35

These are patented designs with built up lip and recessed bottom

Answer 35

Sterile basins

Question 36

Purpose of the sterile basins

Answer 36

hold guidewire in place and allow easy removal

Question 37

What is the primary purpose of draping the surgical patient?

Answer 37

Isolate the surgical site from the other areas of the patient’s body and nonsterile areas of the O.R. table in order to contribute to reducing the risk of surgical site infection (SSI)

Question 38

What is heparin?

Answer 38

It is a drug that works as an anticoagulant

Question 39

It is often used as a flush, which is a small amount of fluid run through an IV port or locks to dissolve any blood clots the patient might have formed that could block the IV fluid from entering the vein

Answer 39

Heparin

Question 40

This provides a place to safely park needles prior to terminal disposal

Answer 40

Sharps container

Question 41

This closed bowl minimizes staff and patient exposure to blood-borne pathogens

Answer 41

Contaminated waste container

Question 42

What kind of contrast media is used in interventional radiography?

Answer 42

Non-ionic Low Osmolality Contrast Media

Question 43

What are the advantages of contrast-saver sets?

Answer 43

- Minimizes contrast waste - Maximizes potential savings

Question 44

This facilitates the introduction of the catheter over the guidewire by dilating the path of the catheter

Answer 44

Vessel dilators

Question 45

What kind of measurement is used for vessel dilators?

Answer 45

French sizes

Question 46

what is the usual length of vessel dilators

Answer 46

5 inches to 6 inches

Question 47

This comes with the dilator and it is left in place when the dilator is removed.

Answer 47

Introducer sheath

Question 48

This protects the vessel wall at the puncture site during catheter manipulation.

Answer 48

Introducer sheath

Question 49

What are the different emergency products used during an interventional procedure?

Answer 49

1. Antihypertensive Drugs 2. Inotropics 3. Antihistamine

Question 50

What are the 2 kinds of hypertensive drugs included in the emergency products

Answer 50

alpha blockers & beta blockers

Question 51

what is the inotropic included in the emergency products?

Answer 51

digitalis

Question 52

What are the things needed for the preparation of the entry site?

Answer 52

razors lidocaine sterile gloves antiseptic soap solution sterile bins drapes & towels

Question 53

This C-arm orientation has the least exposure to the operator

Answer 53

Vertical PA

Question 54

What does the 30 degrees c-arm tilt do?

Answer 54

Increase exposure to face & neck by factor of 4

Question 55

What does the horizontal c-arm orientation do?

Answer 55

increased exposure at x-ray tube end

Question 56

Which c-arm orientation should be avoided because there is an increased exposure to the head & neck

Answer 56

vertical AP