Don't have a coronary!
Miscellaneous
Fun with Pharmacology
Catching Some Rays
Risky Business
The Right Stuff Plus
100
Your patient presents to cath lab diaphoretic, vomiting, and bradycardic. What is the suspected culprit lesion?
What is the RCA
100
Malignant Hyperthermia Cart location
What is Prebys OR supply room beside OR 3
100
An anti-cholinergic medication for bradycardia
What is atropine
100
The maximum annual exposure limit for a healthcare worker
What is 5 Rem/yr
100
A complication of cardiac cath that my require a pericardiocentesis
What is cardiac tamponade
100
Notification required for critical finding with ABL 90 to whom.
Physician notification documented in ABL 90
200
Coronary perfusion is affected by this period of the cardiac cycle.
What is diastole
200
Notify whom if stroke is suspected in the CVL
What is Rapid Response.
200
Your Patient has a low EF, and a Heart rate of 45 prior to their LHC. Which medication would you suggest to the cardiologist to discard in their radial cocktail?
What is Verapamil
200
State requirements for Flouro license in Cath Lab
What is flouro license each day (tech or physician)
Weekly flouro checks with info entered onto spreadsheet and viewed by the state.
200
A complication of cardiac cath that may cause back pain and diminished pedal pulses
What is a retroperitoneal bleed
200
The port of the Swan Ganz through which the injectate is administered for cardiac outputs
What is the proximal port
300
A STEMI is classically diagnosed with these EKG findings:
What is 1-2mm of ST elevation in two contiguous leads on the ECG
300
Uncrossmatched blood for Prebys lab is located where and how do you access the blood
What is OR Fridge? The key is in the OR supply room omnicell. Must remove the key and put the key back.
300
A class of drugs that decrease myocardial demand and increase myocardial supply
What are calcium channel blockers, nitrates
300
If fluoroscopy procedure exceeds 5000 mGy, what are the next steps?
What is Fluoroscopy Dose Monitoring Report.
If dose exceeds 10000 mGy, notify Radiation Safety Officer immediately
Provide the physician with the “Fluoroscopy Exposure Patient Education Summary” for presentation by the physician to the patient.
300
A major complication that is the result of administration of contrast.
What is contrast induced nephropathy and Kidney dysfunction
300
Leave in Swan Ganz fluid for ICU
What is Normal Saline
400
Massive Transfusion Protocol (MTP) initiation process
What is call 5555 for MTP activation and lab with name, MRN, and location.
Need a courier
Take orange blood slip
400
Uncrossmatched blood for the AMP lab is located.
What is AMP CVL 3 in the fridge? Badge access.
400
Antiplatelet medications used in the cath lab include?
What is Aspirin, Plavix, Effient, Brillinta, Cangrelor, Tirofiban IV
400
Best way to reduce patient radiation dose?
What is to collimate
400
During a TAVR procedure, what are the complications to be aware of
What is stroke, bleeding, new LBBB/heart block, AKI, Paravalvular regurgitation
400
Purpose of CardioMEMS
What is at home monitoring of the pulmonary artery pressure to prevent heart failure episodes and decrease hospitalizations?
500
Name the correlating Coronary Arteries
What is:
ll, lll, aVF: Inferior (RCA)
v1, v2, v3, v4: Anterior Septal/Anterior Apical (LAD)
v5, v6,: Anterior Lateral (LCx)
l, aVL: Lateral (LCx)
500
Cath Lab Stat - notify
What is 5555?
Call 5555 and be specific with location and room number.
500
Vasodilator used to widen arteries and decrease spasms.
What is Nitroglycerin and Verapamil
500
Dose that you Must notify physician and document in the CVL chart of over radiation dose exposure
What is 3000 mGy (first notification)
Subsequent notification 1000 mGy
Document in epic.
500
3 complications from mechanical thrombectomy?
What intracerebral hemorrhage, dissection, groin complications
500
Location of Helicopter Pad
Top of North Tower