Procedural Foundation Flashcards

1
Q

How should a sterile pack be opened?

A

Open the first flap away from you and the last flap towards you

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2
Q

How high should you scrub up your arm?

A

2 inches above the elbow

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3
Q

True or false; drapped sterile tables are considered sterile only on the top

A

True

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4
Q

True or false; sterile persons faces a non sterile person when passing

A

False, a sterile person turns his back to a non sterile when passing

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5
Q

What do you remove hair with?

A

An electrical razor

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6
Q

How do you suture a pocket from deepest to surface?

A

Fascia, dermis, then epidermis

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7
Q

When placing a IV prior to a PPI what is the most important thing to consider?

A

The site of implant

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8
Q

If a patient is right handed what side is the PPI done and where is the IV?

A

Left sided, left sided

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9
Q

From lateral to medial tell the sequence of nerves, ligaments, veins, and arteries.

A

Nerve, Artery, Vein, Ligament (NAVL)

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10
Q

How should a patients head be positioned for right internal jugular vein access?

A

turned 30 degrees to the left

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11
Q

When doing an arterial puncture you can best tell when the needle tip is within the artery by what?

A

The presence of pulsatile blood

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12
Q

What type of PPI access is most associated with pneumothorax?

A

Subclavian

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13
Q

What is the immediate sign of air embolism?

A

A hissing noise

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14
Q

What is the entry site for transeptal heart catheterization?

A

Right femoral vein

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15
Q

During a transeptal procedure what needle is used?

A

Brockenbrough

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16
Q

What is punctured in a transeptal puncture?

A

Fossa Ovalis

17
Q

Where is the area used for epicardial access?

A

Subxyphoid

18
Q

What must you do after administering IV meds during CPR?

A

Give them bolus followed by 20 cc bolus of saline

19
Q

What is the first medication given to all ACLS patients?

A

Oxygen

20
Q

How close to procedure time should you set up a sterile field?

A

As close to procedure time as possible

21
Q

What is considered sterile on your person?

A

Front of the gown, waist to mid chest, below the elbows to the forearm and gloved hand

22
Q

How far away do non sterile personal need to maintain from the sterile field and personnel?

A

18 inches

23
Q

A patient develops a complete heart block after undergoing a RV catheterization what caused this and why?

A

The patient had a preexisting RBBB, this is due to the fact that when a catheter is placed into the RV it will have a LBBB morphology.

24
Q

A patient develops a complete heart block after undergoing a LV catheterization what caused this and why?

A

The patient had a preexisting LBBB, this is due to the fact that when a catheter is placed into the RV it will have a RBBB morphology.

25
Q

What morphology for a catheter being placed in the RV?

A

LBBB

26
Q

What morphology for a catheter being placed in the LV?

A

RBBB

27
Q

How do you find Fr size based on diameter?

A

Take diameter and multiply by 3

28
Q

How do you find diameter by Fr size?

A

Take Fr size and divide by 3