Rcis Study, Tamponade, Endomyocardial Biopsy

Front 1

1. ****Endomyocardial biopsy is most commonly performed from the ______ or _____ approach?

Back 1

Femoral vein
****INTERNAL JUGULAR VEIN

Front 2

2. ****When placing the long biopsy sheath in the RV, it is pointed toward the _____ and confirmed in what view?

Back 2

Intraventricular septum and is confirmed in the LAO view

Front 3

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

Back 3

TRUE

Front 4

****4. A major complication of Myocardial Biopsy is?

Back 4

Cardiac Tamponade

Front 5

5. Name the three types of Cardiomyopathys

Back 5

Dilated cardiomyopathy
Restrictive cardiomyopathy
Hypertrophic cardiomyopathy

Front 6

****6.Landmarks for internal jugular vein access?

Back 6

Located in top of the triangular portion of the sternocleidomastoid muscle

Front 7

****7. People with cardiomyopathy are often at risk for?

Back 7

People with cardiomyopathy are often at risk for arrhythmias or sudden cardiac death or both.

Front 8

****8. Tissue specimens are placed in what solutions?

Back 8

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.

Front 9

9. The most important indication for endomyocardial biopsy is?

Back 9

cardiac allograft rejection monitoring

Front 10

****10. The preferred approach for a pericardiocentesis for cardiac tamponade is ?

Back 10

The subxiphoid route

Front 11

11. The pericardial sac, (pericardium) is made of ______ tissue that does not easily _____?

Back 11

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.

Front 12

***12. Asessment findings with cardiac tamponade include:

Back 12

tachycardia,
distant or muffled heart sounds,
jugular vein distention
a falling BP
Pulsus Paradoxus (a drop in inspiratory BP by greater than 10 mmHg)

Front 13

13. True or False
Endomyocardial biopsy can be performed by the subclavian approach?

Back 13

True

Front 14

14. How much fluid is in the pericardium?

Back 14

15-50ml

Front 15

15. True or False
Cardiac Tamponade can compress the pulmonary veins, cause the septum to buldge and Compress the Aorta?

Back 15

True

Front 16

***16. An anticoagulated patient is at higher risk for Tamponade. How would you reverse coumadin?

Back 16

FFP and Vitamin K

Front 17

***17. How would you reverse Heparin?

Back 17

Protomine