Epic Fail
Cardiac output equals _________.
What is heart rate x stroke volume.
An LVAD is used to pump blood out of the _________ and into the rest of the body via the _________.
What is left ventricle and aorta?
__________ is a non-pulsatile VAD that magnetically spins a freely-floating rotor to circulate blood.
What is the CentriMag?
Though a post-op patient with a VAD meets criteria for Risk for Acute Pain, you must avoid managing their pain with _________.
What are NSAIDs?
A black clump seen in a VAD.
What is a clot?
Poor ventricular filling defines this type of heart failure.
What is diastolic failure?
When a child is placed on a VAD with the intention of a subsequent heart transplant, this is a therapeutic use called _______________.
What is bridge-to-transplant?
__________ is a pulsatile VAD that uses alternating pressure to circulate blood.
What is the Berlin Heart?
A pediatric patient on a VAD has Risk for Impaired Tissue Perfusion because when foreign material, like a VAD, is placed into the body and comes into contact with blood, the patient is at higher risk for ___________.
What is thromboembolism?
This is usually a sign that a patient on a CentriMag is hypovolemic.
What is chatter?
Poor ventricular contraction defines this type of heart failure.
What is systolic heart failure?
When a child is placed on a VAD with heart failure that is seondary to a reversible or temporary cause, this is a therapeutic use called _______________.
What is bridge-to-recovery?
Polyester velour sheaths are used on cannulas to prevent _____________.
What are ascending infections?
Given a VAD patient's surgical incision, post-operative drains, and potential periods of immobilization while recovering, this NANDA diagnosis is approrpiate.
What is (Risk for) Impaired Skin Integirty?
A white string or clump seen in a VAD.
What is fibrin?
Name 3 symptoms of heart failure in children.
What is irritability, fatigue, “cardiac cough," tachypnea, tachycardia, heart palpitations, syncope, swelling, sweating, poor feeding, or failure to thrive?
When a child is placed on a VAD with a poor prognosis for heart failure recovery and no plan for subsequent transplant, this is a therapeutic use called _______________.
What is destination VAD?
When assessing a patient on a CentriMag, what is an abnormal finding you may note that would not concern you?
What is the patient is pulseless?
Daily weights and strict Is and Os are essential for pediatric patients on VADs because of this nursing diagnosis.
What is Risk for Fluid Volume Deficit/Overload?
A lab monitored to assess therapeutic antithrombin effect.
What is pTT?
This diagnostic can determine the severity of heart failure by ejection fraction.
What is an echocardiogram?
The survival rate of pediatric patients on VADs is ________.
What is 75-92%?
In terms of fluid balance and perfusion, VADs tend to be ___________ dependent and ____________ sensitive.
What is preload and afterload?
Though pediatric VAD patients are at risk for clots, management is complicated by this opposite but equally important nursing diagnosis.
What is Risk for Bleeding?
A lab monitored to assess therapeutic antiplatelet effect.
What is VerifyNow?