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17 Cards in this Set

  • Front
  • Back
1. ****Endomyocardial biopsy is most commonly performed from the ______ or _____ approach?
Femoral vein
****INTERNAL JUGULAR VEIN
2. ****When placing the long biopsy sheath in the RV, it is pointed toward the _____ and confirmed in what view?
Intraventricular septum and is confirmed in the LAO view
3. ***To Reduce the chance of perforation the operator always opens the bioptome jaws INSIDE the sheath before the bioptome exits the sheath.
True or False
TRUE
****4. A major complication of Myocardial Biopsy is?
Cardiac Tamponade
5. Name the three types of Cardiomyopathys
Dilated cardiomyopathy
Restrictive cardiomyopathy
Hypertrophic cardiomyopathy
****6.Landmarks for internal jugular vein access?
Located in top of the triangular portion of the sternocleidomastoid muscle
****7. People with cardiomyopathy are often at risk for?
People with cardiomyopathy are often at risk for arrhythmias or sudden cardiac death or both.
****8. Tissue specimens are placed in what solutions?
Specimens should be removed from biopsy forcep jaws gently with a needle
Specimens for light microscopy
Placed in 10% formalin for celluar rejection.
Specimens placed in NS solution
for Vascular rejection.
9. The most important indication for endomyocardial biopsy is?
cardiac allograft rejection monitoring
****10. The preferred approach for a pericardiocentesis for cardiac tamponade is ?
The subxiphoid route
11. The pericardial sac, (pericardium) is made of ______ tissue that does not easily _____?
The pericardial sac is fibrous tissue which does not easily stretch, and so once fluid begins to enter the pericardial space, the pressure starts to increase.
***12. Asessment findings with cardiac tamponade include:
tachycardia,
distant or muffled heart sounds,
jugular vein distention
a falling BP
Pulsus Paradoxus (a drop in inspiratory BP by greater than 10 mmHg)
13. True or False
Endomyocardial biopsy can be performed by the subclavian approach?
True
14. How much fluid is in the pericardium?
15-50ml
15. True or False
Cardiac Tamponade can compress the pulmonary veins, cause the septum to buldge and Compress the Aorta?
True
***16. An anticoagulated patient is at higher risk for Tamponade. How would you reverse coumadin?
FFP and Vitamin K
***17. How would you reverse Heparin?
Protomine