1.
Basophils are associated with what condition: Leukemia, hodgkin's disease
2.
Critical Levels of Hematocrit and Hemoglobin: Hematocrit:
-<15% can produce heart failure
->60% can cause spontaneous clotting
Hemoglobin:
-<5 Heart failure
->20 spontaneous clotting of capillaries
3.
Eosinophils associated with what condition: Allergic rxns
4.
Greatest Mortality is associated with occulsion to which coronary vessel?: Left main disease
5.
How to prevent sickling with sickle cell patients: Normothermic
Maintain fluid volume
Maintain oxygenation-maintain 30% crit
6.
Indications for Heart Cath (6): 1. Unstable Angina
2. Postinfaction angina
3. Typical/atypical chest pain
4. positive exercise stress test
5. Positive Dipyridamole stress test
6. Wall motion abnormalities
7.
Lymphocyte increased indicates what: Viral infections
TB
Lymphocytic leukemia
Decreased in HIV and Immunosupression
8.
Monocyte elevation indicative of what: TB, Malaria, Rocky Mountain Spotted Fever,
9.
Neutrophils are associated with what condition: bacteria and stress
10.
Normal Adult WBC count;
Bands?
WBC life span: 4,500-10,000
Normal Bands:3-5%
Life:13-20 days
11.
Normal Hematocrit:
Male
Female
OB: Male-40-54%
Female-36-46%
OB-30%
12.
Normal Hemoglobin:
Male
Female
OB: Male-13.5-17g/dL
Female-12-15g/dL
OB-11-12g/dL
13.
Normal Platelet count: 150,000-350,000
<50,000-Bleeding
<20,000-spontaneous bleeding
You are told the number not the function with a CBC. Need a TEG for functional status
14.
PAP:normal pressures: PA systole: 15-28 mmHg
PA diastole:5-16 mmHg
Mean: 10-22 mmHg
15.
PAWP:normal pressure: Mean: 6-12 mmHg
16.
RAP: normal pressures: 0-8 mmHg
17.
Relative Contraindications for Cardiac Cath (6): 1. Uncontrolled ventricular irritability
2. Uncorrected HTN
3. Febrile Illness
4. Decompensated Heart Failure
5. Allergy to Contrast
6. Severe Renal Failure
18.
RVP:normal pressures: RV systole: 15-28 mmHg
RV diastole: 0-8mmHg
15-28/0-8 mmHg
19.
Treatment options for CHF: Cardiac Glycosides:Digoxin
Phospodiesterase inhibitors:Amirinone, Milrinone
(FTI card; there are others)
20.
What does standard VI of the AANA practice guide say?: "There shall be complete, accurate, and timely documentation of pertinent information on the patient's medical record."
21.
What information does the Cath Report give you?: Summary of indications for procedure
Descript of Cath itself
Hemodynamic Data
-Chamber pressures
-CO
Dexcription of:
-Coronary Anat
-Ventricular Function
-Valvular Function
22.
What is the purpose of Medical documentation?: 1. Facilitates comprhensive patient care
2. Provides retrospective review of research data
3. Establishes a medical-legal record
23.
What Makes a Patient HIGH RISK? (8): 1. <1 or >70 years old
2. Severity of Disease
3. Increased 10 Fold with:
-Class IV ASA or NYHA
-Left Main disease
-EF<30%(or equal to)
4. Valvular heart disease
5. Renal Insuficiency
6. Insulin Dependent DM
7. Advanced peripheral or cerebral vascular disease
8. Severe Pulm Disease
24.
Which AANA standard covers the requirements for documentation of Patient Record?: Standard VI (6)
