Card Set Information
ICT102 Test 2
Sheath size are measured _________ per French size.
What color is 4 French?
What color is 5 French?
What color is 6 French?
What color is 7 French?
What color is 8 French?
What is the length of a standard sheath for Femoral approach?
When the sheath will not canulate, what must you check for?
2) Remove dilator
3) Remove, flush, try again
4) May need to start w/smaller dilators or sheath
What is one view normally performed for LV?
30 degrees RAO
When should you consider the use of an Allen's Test?
When there is a possibilty of doing a radial approach.
What arteries are occulded in an Allen's Test?
Radial and Ulnar
What is the indication of a negative Allens test?
Hand is still blanched after 10 seconds. Another site must be used for an approach.
What is the length of a standard sheath for Radial approach?
What are some symptoms of Vasovagal Reaction?
Hypotension (Low BP), usual Brady Cardia, Pallor and Diaphoresis
When should you expect to see a Vasovagul Reaction?
During and after access, needle sticks, arterial punctures, during and after sheath pulls
How should vasovagal reaction be treated?
Fluids open in IV 100-200ml, 0.5 mg atropine IV Push
What meds does a doctor use to numb the access site?
Lidocaine. Used Routinely 10-20ml 2%
If patient is allergic to Lidocaine, what medication is an alternative?
What palpations should be done on all femoral approaches?
Femoral pulse, DP (Dosalis Pedis), and PT (Posterial Tibias)
What is the first thing to be done when there is resistance felt in the guidewire?
What are the possible access sites?
1st choice - Femoral (by the groin)
2nd choice - Radial (at the wrist)
3rd choice - Brachial (1 cm above crease in the arm)
What size guidewire would be used on a femoral approach?
0.035 J-tipped 3cm
What size guidewire would be used for a radial approach?
0.018 straight soft tip
How do you measure the size of a JL catheter?
The distance between the primary curve and the secondary curve. Greater the distance; Bigger the catheter.
How do you measure the size of a JR catheter?
Measured by the secondary curve only.
What is dampening and how is it caused?
A drop in systolic pressure; caused by ostial lesion and/or miscanulation such as deep seeding or roofing
What is ventriculization?
Decrease in diastolic pressure.
Name indications for a left heart cath?
Chest pains, cardial clearance for surgery, myocardial infarction, STEMI or Non-STEMI, Valvular Heart Disease, Abnormal Echo, and Abnormal stress
What is the first thing you should look for in the aorta (or any other chamber)?
How should the tip be position when giving an injection? Why is this important?
It shold be pointed down; This causes air in the syringe to raise to the top, and air does not mix with the injection
List the wall motion terms.
Normal, Hypokinetic (slow movement); Akinetic (no movement)
What does LIMA stand for?
Left Internal Mammary Artery
What does RIMA stand for?
Right Internal Mammary Artery
In 90% of CABG cases what is used?
What percentage of RCA CABG uses the RIMA?