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Flashcards in Cath protocols and procedures Deck (30)
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1

What are flow directed catheters used for?

Right heart cath

2

What accessory should be placed on a swan that is to be left in the patient post catheterization?

Septi-Shield sterile sleeve

3

What needle is used in a modified seldinger technique?

18 gauge cook needle

4

What is the recommended amount of contrast?

3ml/kg

5

Elevation of the feet may assist with vascular access for which of the following approaches?

internal jugular

6

What substance is used in radiographic contrast that makes it radiopaque?

iodine

7

Which catheter is used for a right heart cath?

Swan-Ganz

8

Which drug is commonly used to achieve anti-coagulation during cardiac catheterization?

Heparin

9

Which anti-coagulation medication is better for diabetics and patients who are allergic to protamine?

Angiomax

10

What are the renal panel labs?

BUN
Creatinine

11

Why is a left ventriculogram performed?

measure Ejection Fraction

12

Left Ventriculogram is most likely performed using which catheter?

angled pigtail

13

Name a collagen based vascular closure device.

Angioseal / Mynx

14

Where is the three ring control syringe connected to?

Four port manifold

15

Which catheter is preferred during an angiography of the RCA?

6JR4.5

16

What kind of guide wires are "slippery when wet"?

Hydrophilic

17

If a patient has a history of contrast allergies, what should be done before the procedure?

premedicate with anti-histamines and steroids

18

How should the skin be prepped with each Povidone-iodine sponge prior to heart cath?

Begin at the inside and scrub away from the puncture site in a spiraling manner

19

Which needle would be the smallest and least traumatic to inject local subcutaneous anesthetic beneath the skin before deep infiltration with lidocaine and arterial puncture?

25 gauge

20

Guidewire diameters are usually measure in what?

thousandths of inches

21

Before catheters, needles and sheaths are inserted into the patient they should have what done to them?

Flushed with heparanized flush solution

22

What complication may occur with frequent and prolonged wedging of Swan Ganz catheter?

Pulmonary hemorrhage

23

During a Judkins coronary arteriography procedure, most strokes and TIA's are caused by plaque embolizing from where?

Aorta

24

Before attempting a brachial or radial artery puncture, the pulses should be strong. The patency of the ulnar artery and Palmar arch can be checked using what test?

Modified Allen's Test

25

Which closure device uses a suture based vascular closure system?

Perclose

26

After 6-8 hours after a coronary angiograph what are patients instructed to do?

drink 1-2 quarts of fluid

27

Why are large amounts of fluid given to a patient post angiography?

promotes excretion of dye by the kidneys

28

Name 4 complications that could occur with femoral access.

1. Hematoma
2. Distal embolization
3. Vasovagal reaction
4. Infection

29

How would you treat a vasovagal reaction?

1. IV fluid bolus
2. Atropine 0.5 mg IVP

30

What should the ACT be before pulling the sheath?

160 seconds