LHC/RHC Supplies
What are three common catheters utilized for a diagnostic LHC?
JR4, JL4, Pigtail (angled or straight)
When transferring a patient with a Foley catheter from the pre-procedural area to the cath lab on a stretcher, where should the drainage bag be positioned?
Below the level of the bladder
True or False: Oxygen is considered a drug.
True
Name the four valves of the heart.
Mitral, Tricuspid, Pulmonary, Aortic
During vascular access for a cardiac catheterization procedure, which findings indicate that the needle has entered an artery rather than a vein?
Bright red (oxygenated) blood and pulsatile flow
What procedure is the Swan-Ganz catheter commonly used for?
RHC
When should a time-out be conducted?
Right before the procedure
*When all the procedural staff (Phys, nurse, tech, monitor...) and patient are present.
What medication is commonly injected into the tissue to numb the access site before vascular access is obtained during a cardiac catheterization procedure?
Lidocaine
Which three arteries provide blood flow to the lower leg (BTK)?
Anterior Tibial, Peroneal, and Posterior Tibial
During the pre-procedure assessment, a patient states that he ate a sausage McGriddle 10 minutes before arriving for his scheduled cardiac catheterization. The procedure is postponed. What is the primary risk if the procedure were to proceed despite the patient not being NPO?
Aspiration
What is the OD of a 6f sheath?
2mm
6 x 0.33=1.98mm
Before removing a femoral arterial sheath and applying manual pressure, it is important to assess the patient's vital signs because the patient may experience what type of reaction?
Vasovagal reaction
Which medication is commonly administered for pain management during a cardiac catheterization procedure?
Fentanyl
Which three major arteries branch directly from the aortic arch?
Brachiocephalic Trunk, Left Common Carotid, Left Subclavian
TIMI Flow Grade 0 indicates there is __________ blood flow through the artery beyond the point of occlusion.
No blood flow
What type of catheter is a pigtail catheter?
Flush Catheter
When drawing up a medication into a syringe, what should be done immediately after the medication is prepared?
Label the syringe with the name of the medication
A patient receives 50 mcg of fentanyl during a cardiac catheterization procedure. Shortly afterward, the patient's oxygen saturation begins to decline rapidly, and supplemental oxygen at 2 L/min is ineffective. Which medication may be administered to reverse the effects of fentanyl?
Naloxone (Narcan)
During a diagnostic Left Heart Catheterization (LHC), which heart valve is commonly evaluated?
Aortic Valve
Prior to obtaining radial artery access for a Left Heart Catheterization (LHC), the Allen's Test or Barbeau Test is performed to assess what?
Adequate ulnar artery perfusion to the hand
What two wires can be used for advancing a catheter during a diagnostic LHC?
.035 150cm J-wire and .035 260cm J-wire
Before administering contrast media during a cardiac catheterization procedure, which two laboratory values should be assessed to evaluate renal function?
Creatinine and BUN (Blood Urea Nitrogen)
What is the maximum O2 flow rate for a nasal cannula?
6 LPM
During a diagnostic Left Heart Catheterization (LHC), what three major structures are imaged and evaluated?
Left Coronary Artery, Right Coronary Artery, and Left Ventricle
Which combination results in the highest radiation exposure during a cardiac catheterization procedure?
A. Fluoroscopy at 15 frames per second (fps)
B. Fluoroscopy at 30 frames per second (fps)
C. Cine at 15 frames per second (fps)
D. Cine at 30 frames per second (fps)
D. Cine at 30 frames per second (fps)