TEE Flashcards
what is the topical anesthesia used for TEE ?
Benzocaine
Cetacaine
*smells like bananas
what are the medications that possibly could cause the reaction to the anesthesia used for TEE ?
Paxil - depression/anxiety
Prozac - depression
Lexapro - depression
what are the absolute contraindications for TEE ?
esophageal tumor, stricture, fistula, on penetration
active upper GI bleed
perforated bowel or bowel obstruction
unstable cervical spine
uncooperative patient
risks for TEE
mortality
major bleeding
major morbidity
esophageal perforation
dental injury
dysphagia
heart failure
how many TEE views ?
20-27 views based on the location
what is the most popular probe for TEE ?
omniplane (multiplane) probe
name the 4 windows associated with TEE and each depth
UE: upper esophageal window 20-25 cm
ME: midesophageal window 30-40 cm
TG: transgastric window 40-50 cm
Desc thoracic Aorta window
describe paradoxical embolous
passage of a venous thrombus into the arterial system, which can occur with a patient with PFO
what are the name of conscious sedation and reversal agents ?
sedative: Versed
analgesic: Demerol
reversal agent: Romazicon, Narcan
As part of the TEE team, list 4 responsibilities of the cardiac sonographer.
- 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.
What does UE stand for?
upper esophageal window
The Upper esophageal (UE) window is approximately __________ to ___________ cm deep.
20, 25
Describe a paradoxical embolus.
List 6 supplies that are required for the performance of TEE.
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
The Transthoracic Echocardiography transducer is a modified Gastroscope.
T or F ?
F
Transesophageal not Transthoracic.
Three-dimensional TEE improves the evaluation of cardiac volume, ejection fraction, valvular heart disease, and tumors.
T or F ?
T
There are ___________ standard TEE images requirements typically obtained during the exam.
approximately 20 (20-27 based on the location)
The Midesophageal (ME) window is approximately __________ to ___________ cm deep.
30, 40
The TEE offers superior resolution because of its improved, higher frequency range.
T or F ?
T
List absolute contraindications to having a TEE (List 4)
Esophageal tumor, stricture, fistula on penetration
Active Upper GI Bleed
Perforated bowel or bowel obstruction
Unstable Cervical Spine
Uncooperative patient
The Transgastric (TE) window is approximately __________ to ___________ cm deep.
The TEE probe determines the quality of the views obtained.
T or F ?
T
A ________ would be done during a TEE to evaluate for a septal defect.
Bubble Study
List 4 duties of the nurse as part of the TEE team.
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.
