TEE Flashcards

1
Q

You can see more using a TEE probe, in comparison to a TTE probe, because TEE probes have a higher ____.

A

Frequency

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2
Q

What are some indications that a patient may need a TEE?

A
  • Cardiac source of embolism
  • Endocarditis
  • Prosthetic heart valve dysfunction
  • Diseases of the aorta
  • Pre-cardioversion in patients with a-fib
  • Intracardiac masses
  • CHF, ASD, VSD
  • Native valve disease (MR, Stenosis…)
  • Pericardial disease
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3
Q

For a TEE, what three people are needed in the room?

A

Physician, nurse and cardiac sonographer.

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4
Q

TEE is NOT good as seeing LV ____.

A

Clots/thombus

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5
Q

In TTE the apex is in the ____ field.

A

Near

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6
Q

A TTE is usually ____-____ minutes and a TEE is ____-____ minutes.

A

40-45; 12-20

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6
Q

In TEE the apex is in the ____ field, so it’s more difficult to visualize.

A

Far

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7
Q

What are some things the sonographer is responsible for grabbing for a TEE?

A
  • Probe
  • Bite block
  • K-Y jelly
  • Pillowcase
  • Hurricane spray
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8
Q

For a TEE, the patient needs to have fasted for a minimum of ____ hours.

A

4-6 hours

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9
Q

Probe passage during a TEE is completed by the ____.

A

Physician

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10
Q

What are the three primary views for a TEE?

A
  • Upper esophageal
  • Mid esophageal
  • Transgastric (aka. Lower esophageal)
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11
Q

What are the upper esophageal views in a TEE?

A
  • Descending aorta (SAX & LAX)
  • Aortic arch (SAX & LAX)
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12
Q

What are the mid esophageal views in a TEE?

A
  • 4 chamber
  • 2 chamber
  • 3 chamber
  • MV commissural
  • AV (SAX & LAX)
  • Bicaval
  • Ascending aorta (SAX & LAX)
  • RVOT
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13
Q

What are the transgastric views in a TEE?

A
  • Mid SAX
  • 2 chamber
  • Basal SAX
  • RVIT
  • LAX
  • Deep LAX
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14
Q

What are the steps for proper probe care?

A
  • Wipe the probe with First Step cleanser
  • Soak probe in sink with Enzymatic cleaner for 3-5 minutes
  • Place probe in a cleaning system 16 minute run time
  • Store probe in a clean, closed cabinet with protective sheath over it
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