Testing
Positioning
Assessment
Complications
Knowledge
100
Lab test that should be drawn daily to assess for possible infection from IABP catheter
What is white blood cell count (WBC)
100
This is the correct way to turn a patient with an IABP in place
What is log rolling?
100
These pulses must be checked every 15 minutes for the first hour after IABP insertion
What are peripheral pulses? ie pedal, posttibial, radial
100
The nurse checks the IABP insertion site every two hours for this
What is bleeding or hematoma?
100
IABP therapy has this affect on afterload
What is a reduction?
200
This is checked daily to ensure proper placement of IAB
What is a chest xray?
200
The frequency the patient should be turned while on IABP therapy
What is every two hours
200
Breath sounds and respiratory status are assessed to identify this complication
What is a dislogement of plaque/emboli (PE)?
200
A decrease in the patient's distal pulse may indicate this
What is limb ischemia?
200
When the IAB inflates, coronary blood flow is _______
What is increased?
300
A decrease in this lab is caused from the mechanincal pumping of the balloon
What are platelets?
300
The patient's head of bed should not be raised higher than this to prevent migration of the intra-aortic balloon
What is 30 degrees
300
Migration of the intra-aortic balloon to occlude the renal arteries may cause a decrease in this nursing assessment
What is urine output?
300
Immoblilty of the balloon catheter for longer than _____ can cause thrombus formation and therefore should be removed immediately by the physician
What is 30 minutes?
300
The IAB is positioned in the descending aorta, 2 cm below this artery
What is the left subclavian artery?
400
Damage to red blood cells can cause a 5% decrease in these lab studies
What are hemoglobin and hematocrit (H&H)
400
The nurse should apply this to prevent the patient from bending the knee in which IABP is inserted
What is a leg immobilizer?
400
An assessment of throbbing pain, parethesia, and swelling in a lower extremity can indicate this
What is compartment syndrome?
400
The nurse checks the balloon tubing for presence of blood or brown flecks to assess for this complication
What is balloon leak or rupture?
400
Acute myocardial infarction, cardiogenic shock, and failure to wean from cardiopulmonary bypass are examples of this
What are IABP indications?
500
Labs used to monitor for heparin induced thrombocytopenia
What are protime and prothrombin time (PT & PTT)?
500
Range of motion should be done to the uninvolved extremity every 8 hours and _______ should be done to the extremity with the IAB inserted
What is dorsiflexion of the foot?
500
This assessment is indicative of an aortic dissection
What is tearing pain in the back or between the shoulder blades?
500
The nurse assesses the patient for signs of bleeding, petechiae, and daily platelet counts for this complication
What is thrombocytopenia?
500
Aortic dissection, severe aortic valve insufficiency, and aortic aneurysm are examples of this
What are IABP contraindications?
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