WorksheetsTilt Table Testing
Total questions: 15
Worksheet time: 4hrs 45mins
Common dizziness due to sudden standing up is usually due to pooling venous blood and is termed
Supination
Orthopnea
Orthostatic hypotension
Postural orthostatic tachycardia
Orthostatic hypotension is prevalent among
the elderly
in dehydration
low blood pressure
high blood pressure
is this most frequently occuring form of a larger group of neurally mediated reflex faints that also include carotid sinus syndrome and post-miturcation [urination] syncope.
(a)
Check 5 recommended things to monitor during tilt table testing.
BP
EKG
02 sat.
Symptoms
Pulse rate
End tidal C02
Vagal nerve activity
Transthoracic echocardiogram
RA and RV intracardiac electrodes
During a tilt-table test, the angle of table should be tilted to between
24-40 deg
45-60 deg
60-90 deg
100-130 deg
In all cases, the patient is instructed (a) during the tilt-table test.
A tilt-table test is performed on a coronary patient who regularly takes nitroglycerine. What should be recommended after an initial passive tilt-table test of 70 degrees for 20 minutes fails to produce a response?
Tilt the table to 90-110 degrees
Continue this tilt for up to 45 minutes
Give high dose of IV Nitroglycerine with tilt
Give Isoproterenol (Isuprel) with tilt
Give fluid challenge with tilt
In a tilt-table test, how is the patient usually monitored for hypotension?
Skin color and temperature
Continuous puls oximeter
Continuous arterial line pressure
Frequent auscultory BP
After an initial passive-tilt procedure is nondiagnostic, what medications may be given? Select the two most commonly used provocative agents.
NTG SL
Atropine
Adenosine
Edriophonium CL
Isoproterenol (Isuprel)
The head-up tilt-table test is a procedure used to provoke neurogenic syncope that is caused by a severe (a)
What are the two types of neurocardiogenic syncope response?
cardioinhibitory response
vasodepressor syncope
Beta adrenergic response
Alpha adrenergic response
Write T or F for true or false:
cardioinhibitory response is principally bradycardia-driven hypotension
(a)
Write T or F for true or false:
vasodepressor syncope is when vasodilation of the blood vessles is the primary response
(a)
What type of therapeutic medication would most likely be given to a patient having a positive tilt table test with neurocardiogenic syncope?
NSAIDS
ACE-inhibitors
Nitroglycerine
Beta-blockers
These graphs show the response of 4 patients with a history of syncope to a sudden upright posture. Match the response of each upright tilt- table test to its diagnosis
Normal response
Pure vasodepressor
Pure cardioinhibitory
Mixed Vasodepressor and Cardioinhibitory
