Heart Failure
What is the 5 year survival in patients less than 50 years old?
What is 73%
How often should the patient change batteries in their MPU?
What is every 6 months
Based on the ARIES study results, what medication is removed from anticoagulation protocol?
What is Aspirin
What is the most common cause of a low flow?
What is hypertension
Patient calls with yellow wrench advisory alarm. What questions would you ask?
What is what is on the display screen and how soon can you come to clinic/ER?
Once diagnosed with heart failure, what is the mortality rate within 5 years?
How often should batteries be replaced?
What is every 3 years
What 3 things are used to calculate flow?
What is speed, power and hematocrit
On the controller, what 2 buttons can be pressed simultaneously to view last 6 alarms?
What is the display button and alarm silence button
Patient calls with low flow alarms, asymptomatic, MAP 80, taken meds, no recent changes.
VAD Parameters:
Speed 5200 RPMs, Flow 1.8, PI 11.5, Power 3.5
What might you consider?
What is patient should be seen ASAP and evaluated for recovery
What is the average number of VAD implants per year?
What is ~3500?
How often should the patient's MPU be replaced?
What is every 2 years
Based on the ASPIRE data, what two items were best at reducing driveline exit site infection?
What is CHG and silver
How long can the low battery advisory alarm be silenced for?
What is 5 minutes
What is a consideration if the patient has a high CVP with LV collapse?
What is (list any)
1) RV Failure
2) obstruction
3)tamponade
What is the latest median survival rate with a Heartmate 3?
What is 7 years
If the power module is left unplugged, how long until the back up battery is ruined?
At what speed does pulse mode automatically occur?
What is 4000 RPMs
What might cause an increase in PI events?
What is (can answer any of the below)
1. increase in speed
2. hypovolemia/suction
3. VT
4. IABP
Patient called with low flows, c/o dizziness, MAP 60, taken medications, no recent changes.
VAD parameters-
speed 5000 RPMs, flow 1.6, PI 2.0, power 3.5
VAD coordinator encourages fluids and return call if not improved. Patient calls back 30 min later with same situation. What else should be considered?
What is send patient to ED ASAP and get a CTA to rule out obstruction
For every 1 patient transplanted, how many will die?
What is 21 people
How long does it take to calibrate 1 battery?
What is 12 hours
When does a PI event occur?
What is when there is a 45% change in the per second PI and average PI
After 15 min on internal backup battery support, the pump enters power saver mode. What change occurs with the pump during power saver mode?
What is the pump drops to low speed limit to preserve power
Patient calls reporting controller continuously alarming and he is unable to silence the controller. What alarm is this?
What is controller hardware fault alarm