Intra-Aortic Balloon Pump and VADs Overview
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Questions and Answers

What is the primary function of the intra-aortic balloon pump (IABP)?

  • To provide permanent support to cardiac function
  • To exclusively support renal function
  • To temporarily support cardiac function (correct)
  • To eliminate the need for surgical interventions
  • During which phase of the cardiac cycle does the intra-aortic balloon inflate?

  • Systole
  • Diastole (correct)
  • Before the electrical impulse in the heart
  • Both systole and diastole
  • What is a significant complication associated with the use of a ventricular assist device (VAD)?

  • Pulmonary embolism from catheterization
  • Chronic heart failure
  • Pneumonia due to limited mobility (correct)
  • Cardiomyopathy
  • How does the IABP reduce cardiac workload?

    <p>By deflating before systole to decrease afterload</p> Signup and view all the answers

    What is the inflation/deflation ratio for maximal assistance with the IABP?

    <p>1:1</p> Signup and view all the answers

    What is an important aspect of nursing care for a patient with a VAD?

    <p>Strict aseptic technique for catheter management</p> Signup and view all the answers

    What is the main objective of cardiac rehabilitation?

    <p>To promote recovery and independence in self-management</p> Signup and view all the answers

    Which of the following is NOT a function of the intra-aortic balloon pump?

    <p>Assist in cardiac workload enhancement</p> Signup and view all the answers

    Study Notes

    Intra-Aortic Balloon Pump (IABP)

    • A mechanical circulatory support device used for temporary cardiac support
    • A catheter with a balloon (30-40mL) is inserted into the aorta through the femoral artery
    • The balloon inflates during diastole, improving blood flow to coronary and renal arteries
    • The balloon deflates before systole, decreasing the cardiac workload
    • Inflation/deflation is triggered by the ECG pattern
    • A 1:1 ratio provides the maximum support
    • Weaning involves gradually decreasing the support as the heart recovers

    Ventricular Assist Devices (VADs)

    • Temporarily assist or fully take over cardiac function depending on device type
    • Used for patients with AMI and/or cardiogenic shock with potential for recovery
    • Also used as a bridge to heart transplantation
    • Helps the weak heart by giving it a chance to rest and recover
    • Nursing care includes assessing haemodynamic status and monitoring for complications
    • VADs carry a high risk of infection, requiring strict aseptic technique for catheter handling and dressing changes
    • Pneumonia is a significant complication due to limited mobility
    • VAD mechanical failure is a life-threatening event

    Cardiac Rehabilitation

    • An interdisciplinary program for patients recovering from AMI, heart surgeries, and percutaneous coronary interventions
    • Focuses on promoting recovery, maximizing functional performance, and developing self-management skills

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    Description

    This quiz covers crucial concepts regarding the Intra-Aortic Balloon Pump (IABP) and Ventricular Assist Devices (VADs). Understand their functions, uses, and nursing care requirements, particularly in patients with acute myocardial infarction or cardiogenic shock. Test your knowledge on mechanical circulatory support devices and patient management.

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