Wildcard
Procedures
Nursing Care & Considerations
Medication
Complications
100
What is ejection fraction?
100
Via catheterization, a small balloon is used to reopen a blocked artery to increase blood flow. A small stent is left in place to keep the artery open.
What is percutaneous coronary intervention (PCI)?
100
Three nursing considerations prior to a patient going to an interventional procedure.
What is NPO after midnight, shaving access sites, assessing PIV, undressing patient, and reviewing which medications should be held?
100
Combined administration of Aspirin and P2Y12 inhibitor.
What is dual antiplatelet therapy (DAPT)?
100
Your patient underwent a catheterization via the femoral artery. Upon assessment, you identify a new hematoma. This is your FIRST action.
What is hold firm manual pressure 2-3 cm above the skin puncture site?
200
This type of valve replacement is made of durable, long-lasting material. However, most patients will require lifelong anticoagulation after receiving it.
What is a mechanical valve?
200
Using endoscopy, ultrasound transducer is inserted into the esophagus to take images of the posterior aspect of the heart.
What is transesophageal echocardiogram (TEE)?
200
When heparin can be restarted following a catheterization via the radial or femoral artery.
What is 2 hours after the removal of the TR band OR 6 hours post-achieving hemostasis of the groin site?
200
This is why a patient undergoing cardioversion should not have their anticoagulation held.
What is the risk of blood clot?
200
Antibiotic prophylaxis prior to dental work and invasive procedures is recommended for patients with prosthetic valves to prevent this complication.
What is endocarditis?
300
These two veins are both utilized for right heart catheterizations.
What is internal jugular vein and basilic vein?
300
Small implanted chip is attached to the mitral valve to help it close more completely
What is a MitraClip (Transcatheter Mitral Valve Repair)?
300
Patient education following PPM placement
What is do not lift arms over head for 2 weeks and do not lift anything heavier than 10 pounds for 1 week?
300
These are three examples of a P2Y12 inhibitor.
Clopidogrel (Plavix)
Ticagrelor (Brillanta)
Prasugrel (Effient)
Ticlopidine (Ticlid)
Cangrelor (Kengreal)
300
Your colleague is holding pressure to a bleeding groin site. The provider asks you to confirm is the pressure is fully occlusive.
What is confirm that no dorsalis pedis or posterior tibialis pulses are dopperable?
400
What is a POBA (Plain Old Balloon Angioplasty)?
400
Minimally invasive procedure during which a catheter is threaded through an artery to place a new valve inside the diseased aortic valve. Minority of patients will require temporary pacing wires.
What is a transcatheter aortic valve repair (TAVR)?
400
Procedure prep will include shaving of the back and chest and placement of defib pads on the patient. Following procedure, anticipate patient to be NPO x1 following administration of viscous lidocaine.
What is a TEE/CV?
400
This is typically how long heparin/Lovenox are held before and after a pacemaker placement.
What is 24 hours prior and 48 hours post?
400
Your patient underwent LHC via the femoral artery earlier today and your patient reports new onset back pain. Other symptoms of this complication include hypotension, tachycardia, abdominal distention, and the Grey Turner's Sign
What is Retroperitoneal Bleed?
500
Normal range for pulmonary artery wedge pressure.
What is 6-12 mmHG?
500
Parachute-shaped device is inserted into the patient's Left Atrial Appendage, decreasing the risk of blood clot formation.
What is the Watchman Procedure?
500
Five nursing considerations prior to patient undergoing a CABG.
What is...?
-Advance directives/HCP
-Patient education materials
-Consents (CABG, Hospital, Anesthesia)
-Bilateral BPs
-Surgical Scrub PM and AM
-Mepilex
-Place EKG leads laterally (AM)
500
These are the two indications for stopping IV cangrelor.
What is patient has a procedure OR oral antiplatelet therapy is established.
500
Your patient underwent a pacemaker placement earlier today and is now in acute distress. Symptoms of this complication include sharp chest pain, SOB, tachycardia, hypotension, muffled heart sounds, & distended neck veins.
What is cardiac tamponade?