A 62-year-old patient is scheduled for elective right total knee arthroplasty. He underwent placement of a drug-eluting coronary stent seven months ago following a non-STEMI and remains on dual antiplatelet therapy with aspirin and clopidogrel. His home medications also include metoprolol succinate and atorvastatin. He has been asymptomatic since the stent placement and reports he can climb two flights of stairs without chest pain or dyspnea. Which of the following recommendations is most appropriate?

Which physical exam finding is most consistent with systolic left-sided heart failure with preserved right ventricular function?

You are called to the PACU to assess a patient with high blood pressure. On arrival you find the blood pressure is 183/97 with HR of 72, SpO2 97%, respiratory rate of 12, and a temp of 97.2°F. The patient reports no pain and reports feeling calm. The PACU nurse tells you they are going to grab the patient a warm blanket since the patient is shivering. You decide to order:

Which of the following correctly identify the approximate distance from the insertion site to the right atrial–vena caval junction? (select 3 of 5)

A 72-year-old male with an aortic valve area of 0.7 cm² and a mean transvalvular pressure gradient of 52 mm Hg presents for elective hip arthroplasty. What would be included in your plan for this patient?

While on cardiopulmonary bypass, you notice the MAP has dropped from 76 mmHg to 58 mmHg. The perfusionist has administered a phenylephrine bolus without improvement. On examination, the patient’s face appears plethoric with a ruddy red-purple coloration, mild facial edema, and jugular venous distention. The most likely cause is:

Which interventions are appropriate when managing a patient with cardiac tamponade prior to surgical drainage? (select 3 of 5)

Which of the following correctly identifies ACT parameters in cardiac surgery? (select 2 of 4)

You are called to the PACU for a patient who is experiencing chest pain. The nurse reports that the patient did well in surgery and that the only significant medical history is aortic stenosis with a valve area of 0.7 cm². The nurse also reports treating some moderate post-op pain with 4 mg of morphine. You observe the patient’s vital signs on the monitor and note a HR 92, BP 99/53, SpO2 98% on room air. You decide the treatment for the patient’s chest pain is

Heparin produces its anticoagulant effect by: