Procedural Guidance Step 1, Part 3 Pericardiocentesis 1. What is the preferred location for draining pericardial fluid?*A. No preferred, wherever the fluid is closest to the skin and largest amount as to avoid injury to vital organsB. Always must be done subxiphoid/subcostalC. Always must be done at the apical viewD. Must be done with ECG monitoring electrodes on tapping needle2. What structure can you use to differentiate between a pericardial effusion and a left pleural effusion?*A. PericardiumB. Pleural lineC. Descending aortaD. Lung line3. T or F: Evaluation of the pericardium is part of the FAST evaluation:*A. TrueB. False4. To differentiate between pericardial effusion and epicardial fat pad, you can use the following except:*A. Fat pad moves with the epicardium each heartbeatB. Pericardial effusion is usually more hypoechoic or anechoicC. Fat pad is seen mostly posteriorlyD. Fat pad is usually a granular appearance5. When a pericardial effusion is present, what is the next most important step for the ICU physician?*A. Obtain equipment to perform pericardiocentesisB. Obtain views to assess LV functionC. Obtain views to assess for tamponade physiology (RV diastolic collapse)D. Call the on call cardiologist