Medications
CRRT
IABP
Impella
General Knowledge
100

This medication works by increasing cAMP levels in cardiac muscle cells causing an increase in intracellular Calcium; it is an ino-dilator commonly used for cardiogenic shock.

What is Milrinone?

100

What are the names of the two CRRT protocols?

What are Citrate and Citrate-free?

100

Fluid used to prime the IABP tubing and for the pressure bags?

What is Heparinized saline?

100
Impella screen in which the different waveforms and pressures can be analyzed.

What is the placement screen?

100

What is the influence of positive end expiratory pressure on preload?

What is PEEP increases intrathoracic pressure which decreases venous return. Gives falsely elevated CVP.

200

This venous and arterial dilator can be used to decrease SVR and increase blood flow to the coronary arteries to reduce angina. Okay to run peripherally.

What is Nitroglycerin?

200

CRRT labs required q6hrs after initiating therapy for Citrate free protocol

What are BMP, Mg, Phosphorus and Ca Ion?

200
Correct IABP positioning on a chest x-ray.

What is between the 2nd and 4th ICS or at the level of the carina?

200

P-level you should switch to for continuous suction alarms or during CPR.

What is p-2?

200

One takes into account the blood returning to the heart after O2 has been removed by the head, neck, and coronary sinus and the other should range >60%.

What is ScVOand SVO2?

300

This medication would be beneficial for a bradycardic but hypertensive patient as it reduces BP but has no effect on conduction velocity and HR.

What is Cardene (Nicardipine)?

300

Where should the post-filter Ionized Calcium be collected?

What is the blue post filter port?

300

What are the complications of IABP mispositioning?

What is impaired circulation to the LUE or decreased urine output?

300

Most accurate way of determining a patient's true native cardiac performance while on Impella therapy.

What is an SvO2?

300

Patients with an arterial or venous sheath in their groin should have a HOB less than what?

What is 30 degrees?

400

This medication works primarily as a beta-1 agonist to increase HR and contractility and AV conduction but it's limited in that it may cause your SvO2 to decrease.

What is Dobutamine?

400

If your patient has a total intake of 35mL/hr and the Nephrologist orders a removal goal of -200mL/hr, what should be your set PFR?

What is 235mL/hr?

400

When should inflation of the balloon occur and what is the goal?

What is during diastole at the dichrotic notch because the coronary arteries fill during diastole?

400

Diagnostic imaging used to confirm Impella placement or used for Impella repositioning.

What is an echocardiogram?

400

Medications such as zofran and reglan are potentially dangerous when given in repeat doses as they...

What is prolong the QTc on EKG?

500

This inhaled medication is used to improve pulmonary blood flow and decrease PA pressures. It is ordered by physicians and set up and administered by respiratory therapist.

What is Nitric Oxide?

500

In order to diagnose Citrate toxicity, we look for a rise in _________ despite a non-increasing ionized calcium.

What is total calcium?

500

When anticoagulation is paused or off during IABP therapy, what timing should the pump be in? Why?

What is 1:1 because, the constant inflation and deflation makes it harder for blood to coagulate.

500

A negative reading on which pressure tracing would indicate the patient is in need of additional volume or preload?

What is the placement signal diastolic reading? Negative LVEDP indicates low volume status.
500

Elevated intra-abdominal pressure can cause a decrease in _________ and in extreme cases leads to a ________ in SVR.

What is decrease in venous return and increase in SVR?