Lawrence Educational Media
Presents

The Virtual Cardiac Cath Lab   CD-ROM set

The CD-ROM set is the collaboration of Charles D. Lawrence, MPH, Ph.D., producer of the videotape set “The Cardiac Cath Lab: A primer and Compendium for Technologists and Jeff Davis, RRT, RCIS, Cardiovascular Technology Program Coordinator at Edison Community College  and the Chairperson of the Invasive Committee of  The Proposed National Model Cardiovascular Curriculum.

The CD-ROM set (three CD-ROM’s) contains 615 screens of  material (over 100,000 words of text), 697 videos and animations and730 pictures. The CD-ROM material covers topics including embryology, anatomy, pathology, hemodynamics, catheterization procedures, technologist functions and cardiac pharmacology (see below).

NOTE: Windows 7 Users (64 bit version) will not run the Virtual Cardiac Cath Lab program.

For instutitions the CD-ROM set comes with reproducible test masters (and answer sheets) with 460 questions from the CD materials (plus an answer key) to allow the hospital to maintain technologist progress records for JCAHO accreditation.  The CD package (CD’s and reproducible tests) is priced for institutions at $160.00 and can be ordered by sending check (made out to Charles D. Lawrence) or purchase order to the address below.

Charles D. Lawrence, MPH, Ph.D.
PO Box 5578
Gainesville, FL  32627

Minimum Requirements: Windows 95, Pentium and 5 megabytes of hard disk space

For more information e-mail lawrencec@sfcc.net

Cardiac Embryology
Fetal Heart Development
          Formation of the Interventricular Septum
          Inflow Septum and Atrioventricular Canal
          Outflow Septum and Outflow Tracts
          Division of the Truncus Arteriosus
          Parallel Development
          Formation of the Interatrial Septum
Fetal Circulation
General Changes at Birth

Adult Cardiac Anatomy
The Heart
          Blood Volume
          Blood Flow
 Valve Anatomy
          Tricuspid Valve
          Mitral Valve
          Pulmonary & Aortic Semilunar Valves
          Stenosis and Regurgitation
          Fibrous Skeleton
Musculature
          Superficial Bulbospiral Muscle Layer
          Superficial Sinospiral Muscle Layer
          Deep Sinospiral Muscle Layer
          Deep Bulbospiral Muscle Layer
 Nervous System
          Cardiac Innervation
          Sympathetic/Parasympathetic Control
          Adrenergic
          Cholinergic
Coronary Artery Anatomy
          Normal Anatomy
          Coronary Artery Pathology
Cardiac Conduction System: Physiology
          Electrical Activity of the Heart
          Membrane Resting Potential
          Action Potentials - Excitability
          Phases of Cardiac Electrical Activity
Cardiac Conduction System: Anatomy
          Sinoatrial Node
          Atrioventricular Node
          Bundle of His
          Right and Left Bundle Branches
          Purkinje System

Hemodynamic Physiology
Cardiac Metabolism
Cardiac Cycle
          Atrial Events
          Ventricular Events
          Arterial Events
Cardiac Output
Cardiac Reserve
Stroke Volume
Normal Pressure Values
Frank-Starling Principle
Combined Factors Determine Cardiac Output
          Preload, Afterload and Contractility

Patient Assessment
External Physical Manifestation
          Auscultation
          Normal Heart Sounds
Abnormal Heart Sounds Murmurs
Pulse
          Pulse Rhythm
          Regular Irregularities
          Irregular Irregularities
          Pulse Character
          Pulse Volume and Vessel Wall Condition
Specific Abnormalities

Blood Pressure
Autonomic Control of Blood Pressure
          Sympathetic Control
          Parasympathetic Control
Humoral/Hormonal or Ion Regulation of Circulation
          Vasoconstricting Agents
          Vasodilating Agents
          Calcium Ions
          Sodium Ions
          Potassium Ions
          Magnesium Ions
          Hydrogen Ions
          Carbon Dioxide
          Local Factors Affecting Circulation
Manual Evaluation of Arterial Pulse
Blood Pressure Determination
          Interpretation

Blood Chemistry
Principal Components of Human Blood
          Erythrocytes
          White Cells
Other Constituents of Blood
          Agranulocytes
          Granulocytes
          Platelets
          Plasma
Lab Tests - Normal Ranges
          Hematocrit and Hemoglobin
          CBC Complete Blood Count
          Chemistry Data
          Coagulation Data
          Cardiac Enzymes Data
          Troponin
Hemoglobin Values
Arterial and Venous Blood Gas Values
Disease States
          Respiratory Acidosis
          Respiratory Alkalosis
          Metabolic Acidosis
          Metabolic Alkalosis
Analysis of Arterial Blood Gases

Hemodynamic Waveforms
Cardiac Output
          Angiographic Technique
          Dilution Methods
                    The Fick Technique
                    Indocyanine Green Dye Dilution
                    Thermodilution Technique
Hemodynamic Calculations
          Cardiac Output Methods
          Oxygen Capacity
          Oxygen Content
          AVO2 Difference
          Oxygen Consumption
          Cardiac Output
          Cardiac Index
Valve Area Calculations
          Regurgitant Fraction
Pulmonary Vascular Resistance
Systemic Vascular Resistance

Hemodynamic Waveforms
Transducer
          Wheatstone Bridge Strain Gauge
Manifolds
Great Vessel Waveforms
          Normal Pressure Values
Arterial Pressure Waveforms
          Mean Arterial Pressure
          Pulse Pressure
Ventricular Pressure Waveforms
          Pullback Procedure
Atrial Pressures
Pulmonary Wedge Pressure
          Ventricular Pressures
          Pulmonary Artery Pressure
Aortic Stenosis & Insufficiency Effects

Coronary Vascular System
Coronary Arteries and Veins
          Coronary Artery System
          Coronary Artery Dominance
          Coronary Veins
Coronary Angiography
          RAO Projection
          LAO Projection
          AP and Left Lateral Projections
Projection View Summary
          Imaging Sequence

Electrocardiography
Normal Characteristics and Assessment Techniques
          Leads I, II and III
          aVR, aVL and aVF Leads
          V1 - V6 Leads
The ECG's Relationship with Electrical Conduction
ECG Paper
          Time Measurement
          Voltage Measurement
Determination of Heart Rate
Clinical Significance of Heart Rate
Recognizing Abnormal ECG Characteristics
          Analysis of Rhythm
          The P-wave
          The P-R interval
          The QRS Complex
          The ST Segment
          The T-wave
          The U-wave
          The Q-T interval
Steps in Analyzing ECG'S
          Arrhythmia Recognition
          Present P-waves
          Absent P-waves
 ECG Pattern Recognition
          Atrial Fibrillation
          Atrial Flutter
          Ventricular Fibrillation
          Premature Ectopic Beats
Generalities of most Ectopic Beats
Morphology and Possible Cause of Abnormal ECG's
          AV Blocks - First Degree Blocks
          Second Degree Blocks - Mobitz I Wenchebach
          Mobitz II
          Third Degree Heart Blocks
          Complete AV Dissociation
          Bundle Branch Blocks
 Normal Electrical Depolarization
          Right Bundle Branch Blocks RBBB
          Left Bundle Branch Blocks LBBB
Atrial Arrhythmias
          Sinus Tachycardia
          Sinus Bradycardia
          Sinus Arrhythmia
     Atrial Fibrillation
          Atrial Flutter
Ventricular Arrhythmias
          PVC's
          Ventricular Tachycardia
          Ventricular Fibrillation
Myocardial Ischemia, Injury and Infarction
          Ischemia
          Subendocardial Infarct
          Transmural Infarct
          Printzmetal's Angina
          Digitalis Effects

Cardiac Pathology
Coronary Artery Disease
          Angina
Myocardial Infarction
          Zone of Infarction
          Zone of Injury
          Zone of Ischemia
          Detection of Myocardial Infarction
Congestive Heart Failure
Congenital Heart Disease (Defects)
          Shunt Lesions
          Obstructive Lesions
          Cyanotic Lesions
Rheumatic Fever and Endocarditis
Valvular Diseases
Circulatory Diseases
Systemic and Pulmonary Hypertension
Tumors
Other Myocardial and Pericardial Diseases
Cardiomyopathy

Medical Asepsis
Microbiology
Immunization
Principles of Asepsis
Sterilization and Disinfection
          Methods of Sterilization
          Methods of Disinfection
          Methods of Antisepsis
Gowning, Gloving, Etc
Sterile Tray Preparation
          Adding Items to Sterile Field

X-Ray Theory
Electric to Electromagnetic Energy
Electromagnetic Radiation
Quantum Theory & X-Ray Photons
X-Ray Tube
X-Ray Production
Characteristic Radiation
Bremsstrahlung Radiation
Radiation Safety - Scattering
          Classical Scattering
          Compton Scattering
          Photoelectric Effect
Differential Absorption
Biological Effects of Radiation Exposure
X-Ray Exposure
Personal Monitoring Devices
Image Detection in the Cath Lab
X-Ray Image Intensifier Tube
Image Recording
Digital Radiography
          Subtraction Angiography
Digital Storage of Images
DICOM Cross Platform Standard
Film Technology
          Formation of the Latent Image
          Processing Steps
          Automatic Processing
          Time, Temperature and Concentration
General Cath Lab Supplies
          Specific Case Supplies
Manifolds
Pulse Oximeter
Defibrillators
Defibrillation vs Cardioversion
Intra-aortic Balloon Pump (IABP)
Contrast Media
           Contrast Media Complications/Side Effects
           Contrast Media Power Injector

Cath Lab Technologist
Scope of Practice for the Cardiovascular Professional
Procedures and Techniques
Equipment
Assessing the Physiological Health of the Patient
Division of Labor - Scrub Technologist
Division of Labor - Circulating Technologist
Basic Tray Setup
Cardiac Catheterization Team
Specific Tech Functions
          Circulator Tech
          Scrub Tech
          Recorder Tech
          Imaging Tech
Post-catheterization Duties - Holding Pressure
          VasoSeal
          Angioseal
          Perclose
          Duett
Postcath Teaching
Intravenous Therapy
Emergency Protocol
Hazards in the Cardiac Catheterization Lab

Theory of Cardiac Catheterization
Protocol
          Contraindications
          Complications
Cardiac Catheterization Entry Sites
          Arterial Access
          Radial Access
          Cutdown
Heart Procedures
          Left Heart Procedure
          Right Heart Procedure
          Combined Heart Procedure

Catheterization Procedures
Angiography
          Aortography
          Coronary Angiography
          Cardiac Ventriculography
          Pulmonary Angiography
          Peripheral Angiography
Angioplasty
          Percutaneous Coronary Angioplasty
          Maintaining Perfusion with Angioplasty
          Cutting Balloon Angioplasty Catheter
Atherectomy
          Directional Atherectomy
          Transluminal Extraction Catheter
          Rotational Athrectomy (Rotablator System)
Laser Angioplasty
Stents
          Reducing Restenosis
          Stents with membranes
Thrombectomy
          Ultrasonic Clot Dissolution
          Angiojet Thromectomy Catheter
          Clot Buster
Transluminal Data Acquisition
          Electronic Pressure Measurement
          Ultrasonic Blood Velocity Measurement
Transluminal Angioscopy (Ultrasonic Imaging)
Transluminal Drug Delivery and Therapy
          Local Drug Delivery
          Local Drug Delivery Techniques
          Gene Transfer
          Thrombolytic Therapy
Electrophysiology
          Multi-electrode Array Catheter
          Atrial/Ventricular Mapping Basket Catheter
          Catheter Ablation
          Chilled Radio Frequency Ablation
Endocardial Biopsy
Laser Percutaneous Myocardial Revascularization
Atrial Septal Defect Repair
Ductus Closure
Valvuloplasty
          Pulmonary Valvuloplasty
          Tricuspid Valvuloplasty
          Aortic Valvuloplasty
          Mitral Valvuloplasty
Atrial Septostomy

Special Diagnostic & Therapeutic Procedures
Stress ECG Testing
Adenosine Nuclear Testing
          Thallium Stress Testing
Echocardiography
          Stress Echo
Pericardiocentesis
Pacemakers
          Pacemaker Insertion
          Pacemaker Codes
Bypass Surgery
          Endoscopic Bypass Surgery
Endoscopic Saphenous Vein Harvesting
Shunt Assessment

Cardiac Pharmacology
ACE Inhibitors
Angiotensin II Receptor Blockers
Antianxiety Agents
Antianxiety Antagonist
Antiemetic Agents
Antiarrhythmic Agents
Anticoagulants
Anticoagulant Antagonist
Antiplatelet Agents
Antihistamines
Beta Blockers
Bronchodilators
Calcium Channel Blockers
Cardiac Glycosides
Diuretics
Inotropic Effectors Positive
Local Anesthetics
Narcotic Analgesics
 Narcotic Antagonists
Oxytocic Agents
Steroids
Thrombolytics
Vasoconstrictors / Antihypotensives
Vasodilators / Antihypertensives
Nitrates
Contraindications Listed by Condition
Contraindications Listed by Drug
Drug Administration Calculations

Hemodynamic Calculations
Body Surface Area
Cardiac Output Volumetric
Cardiac Output Fick
Cardiac Index
Mean Arterial Pressure
Theoretic O2 Carrying Capacity
Stroke Volume
Angiographic Stroke Volume
Ejection Fraction
Forward Flow Stroke Volume
Regurgitant Volume (Regurgitant Stroke Volume)
Regurgitant Fraction
Valve Area Gorlin Formula
Shunt Volume Flow