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Echo > TEE > Flashcards

TEE Flashcards

1
Q

what is the topical anesthesia used for TEE ?

A

Benzocaine
Cetacaine

*smells like bananas

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2
Q

what are the medications that possibly could cause the reaction to the anesthesia used for TEE ?

A

Paxil - depression/anxiety
Prozac - depression
Lexapro - depression

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3
Q

what are the absolute contraindications for TEE ?

A

esophageal tumor, stricture, fistula, on penetration
active upper GI bleed
perforated bowel or bowel obstruction
unstable cervical spine
uncooperative patient

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4
Q

risks for TEE

A

mortality
major bleeding
major morbidity
esophageal perforation
dental injury
dysphagia
heart failure

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5
Q

how many TEE views ?

A

20-27 views based on the location

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6
Q

what is the most popular probe for TEE ?

A

omniplane (multiplane) probe

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7
Q

name the 4 windows associated with TEE and each depth

A

UE: upper esophageal window 20-25 cm
ME: midesophageal window 30-40 cm
TG: transgastric window 40-50 cm
Desc thoracic Aorta window

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8
Q

describe paradoxical embolous

A

passage of a venous thrombus into the arterial system, which can occur with a patient with PFO

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9
Q

what are the name of conscious sedation and reversal agents ?

A

sedative: Versed
analgesic: Demerol
reversal agent: Romazicon, Narcan

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10
Q

As part of the TEE team, list 4 responsibilities of the cardiac sonographer.

A
  • Collect the necessary supplies and equipment
  • Patient education
  • Inspect the shaft of the TEE probe for cracks, tears, or signs of damage
  • Ensure that the TEE probe is working properly
  • Operate the ultrasound machine during the exam and acquire images
  • Disinfect, inspect and store the TEE probe.
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11
Q

What does UE stand for?

A

upper esophageal window

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12
Q

The Upper esophageal (UE) window is approximately __________ to ___________ cm deep.

A

20, 25

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13
Q

Describe a paradoxical embolus.

A
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14
Q

List 6 supplies that are required for the performance of TEE.

A

Tee worksheet for documentation

Tee consent form

Crash cart

BP monitor

Pulse oximeter

IV access

Conscious sedation

Reversal agents for conscious sedation

gloves/ goggles/mask

topical oropharyngeal anesthesia spay

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15
Q

The Transthoracic Echocardiography transducer is a modified Gastroscope.

T or F ?

A

F

Transesophageal not Transthoracic.

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16
Q

Three-dimensional TEE improves the evaluation of cardiac volume, ejection fraction, valvular heart disease, and tumors.

T or F ?

A

T

17
Q

There are ___________ standard TEE images requirements typically obtained during the exam.

A

approximately 20 (20-27 based on the location)

18
Q

The Midesophageal (ME) window is approximately __________ to ___________ cm deep.

A

30, 40

19
Q

The TEE offers superior resolution because of its improved, higher frequency range.

T or F ?

A

T

20
Q

List absolute contraindications to having a TEE (List 4)

A

Esophageal tumor, stricture, fistula on penetration

Active Upper GI Bleed

Perforated bowel or bowel obstruction

Unstable Cervical Spine

Uncooperative patient

21
Q

The Transgastric (TE) window is approximately __________ to ___________ cm deep.

A
22
Q

The TEE probe determines the quality of the views obtained.

T or F ?

A

T

23
Q

A ________ would be done during a TEE to evaluate for a septal defect.

A

Bubble Study

24
Q

List 4 duties of the nurse as part of the TEE team.

A

Patient education

start the IV and administer conscious sedation

Monitor vitals including BP, heart rate and O2 sat

Operate the suction device to remove excess secretions

Monitor the patient until awake, alert, gag reflex returns and vital signs are stable.

25
Q

List 4 things that are important to note as part of your patient history.

A

Swallowing difficulties

allergies

bleeding disorders

current medical conditionsrgies

medications

when did the patient last eat?

26
Q

ME stands for micro-esophageal.

T or F ?

A

F

27
Q

List the members of the TEE Team (4)

A

cardiac sonographer

nurse

cardiologist

anesthesiologist

28
Q

Conscious sedation requires continuous nursing care during and after the exam.

T or F ?

A

T

29
Q

List the 3 main areas / views for a TEE

A

Midesophageal

Transgastric

Deep transgastric

Descending Aorta SAX and LAX

Upper Esophageal

30
Q

Lists 8 risks of having a TEE.

A

mortality

major bleeding

major morbidity

esophageal perforation

dysphagia

hoarseness

bronchospasm

laryngospasm

minor pharyngeal bleeding

dental injury

lip injury

heart failure

arryhthmia

31
Q

A TTE is more expensive than a TEE.

T or F ?

A

F

32
Q

A disadvantage of TEE is access in patients who cannot be imaged via chest wall.

T or F ?

A

F

An advantage of TEE is access in patients who cannot be imaged via chest wall.

33
Q

TEE is not useful in patients with atrial fibrillation prior to cardioversion.

T or F ?

A

F

34
Q

Barrett esophagus is an absolute contraindication to having a TEE.

T or F ?

A

T

Echo (35 decks)

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