To maximize patient safety during cardiopulmonary stress testing, which of the following pre-cautions would you recommend?

Question

1. Immediate availability of a crash cart
2. Staff training in emergency life support
3. Presence of a physician throughout testing
4. Patient physical exam or ECG before testing
a. 1, 2, and 3 only
b. 1, 2, 3, and 4
c. 1 and 3 only
d. 3 and 4 only

Answer 1

ANS: B
To minimize patient risk during exercise evaluation, certain safety measures are implemented. First, the patient should undergo a physical examination just before the test, including a resting ECG. Second, a qualified physician should be present throughout the entire test. Third, emer-gency resuscitation equipment (cardiac crash cart with monitor, defibrillator, oxygen, cardiac drugs, suction, and airway equipment) must be readily available. Fourth, staff conducting and assisting with the procedure should be certified in basic and advanced life support techniques. Finally, the test should be terminated promptly whenever indicated.