| VAD HEMODYNAMICS | DRESSING CHANGES | HEARTWARE | BERLIN HEART | Heartmate II |
|---|---|---|---|---|
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What is the Berlin Heart?
The only VAD we currently use which provides pulsatile flow.
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What is the Berlin Heart Dressing Change?
Dressing Changes for this VAD are postoperative days 1-10 and PRN if drainage continues. Days 11-21 Are Monday, Wednesday, Friday, then from 21 and on just WEEKLY!!!
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What is a thrombus in the pump?
The most common cause of an increase in pump power.
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What is the red port?
Pneumatic Tube is placed into this port on the IKUS for an LVAD or single VAD.
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What is 6-10 hours?
The amount of time that 2 full batteries last on the HM II.
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What are continuous flow VADs that do not produce a pulse?
The primary reason why NIBP monitoring and Arterial Lines are not accurate when assessing Heartware and Heartmate 2 patients?
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What are the Durable VADs AKA Heartware and Heartmate II?
Dressing changes for these 2 VADS are only on Monday, Wednesday, and Friday, or PRN.
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What is the waveform trough?
The minimum value of the VAD flow waveform.
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What is the Toggle Switch to the on position, Check the Plug Clip, and double check to make sure the outlet is working if not replace to another outlet?
When the green light is off, check these items on the IKUS.
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What is the batteries drain together?
This is the method in which the Heartmate 2 batteries drain.
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What is a stroke (embolic/hemorrhagic)?
The most adverse event that can occur due to improper blood pressure management in a VAD patient and a reason systolic dopplers are a 2 RN check.
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What are Silverlon Strips?
After 21 days on the Berlin Heart these special strips are added unless contraindicated.
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What are
Broken and Disconnected Driveline VAD Stopped Controller Failure Critical Battery?
Will cause a High Priority RED Alarm. Sounds like an Ambulance.
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What are 7 LEDS?
The number of LED lights that indicate a full charge of the IKUS.
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What is 400-600 below the Fixed Speed Limit.
The low speed limits should be set according to this guideline.
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What is decreased preload to any VAD. Elevated CVP. Decreased flow pulsatility, inadequate filling of the VAD, Suction detections due to inadequate preload, low flow detections, Low PIs. What is tachycardia, hypotension, shortness of breath, peripheral edema, hepatosplenomegaly, fatigue, abdominal discomfort, peripheral venous congestion/distention?
At least 4 signs of Right Heart Failure in any VAD patient.
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What is the Berlin Heart?
Dressing changes for this device ALWAYS require 2 people.
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What are
High Watts Electrical Fault Low Flow Suction Detection Controller Fault?
At least 3 of these will cause a flashing yellow-Medium Alarm Advisory Alarm
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What are the Valves?
The most common location where deposits form on the Berlin Heart.
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What is Right Heart Failure?
If your Central Venous Pressure acutely rises from 8-20 over the course of 24 hours this could be occurring.
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What is Severe Aortic Insufficiency/Regurgitation? Recall that Aortic Regurgitant Volume will reduce cardiac output of the LVAD and may lead to thromboembolism. If VAD fails, there is no native flow across the LVOT.
Important Considerations for Oversewing an Aortic Valve in a Continuous Flow VAD.
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What is the Centurion Foley Anchor? Located in the ECMO supply room as well.
The name of the anchors used for all durable VADS.
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What is 1800-4000 RPMS
The operational speeds of the Heartware HVAD.
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What is a CT scan?
Any changes in neurologic status warrant which STAT diagnostic study?
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What is a red heart battery alarm?
You need to immediately change the batteries or go to the power module if you receive this alarm.
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