Impella
What is the goal of impella?
What is to unload and rest the heart
When the AIC is unplugged, what is the battery life of the AIC?
What is 1 hour
True or False: Normal Saline can be used as the purge fluid.
What is False!
(Normal Saline breaks down the impella motor)
What is the maximum degree angle that an impella patient can be raised to?
What is HOB 30 degrees
(Reverse Trendelenburg is BEST)
What does double hump mean?
What is HAPPY PUMP
What is the gold standard to verify impella placement?
What is ECHO
After the impella CP is placed, Where is the inlet cage located?
What is the left ventricle
What is the standard heparin concentration for purge fluid?
What is D5W with 50 units/ml of heparin.
When the impella has a red alarm, what action should you take?
What is turn P level down to P2
After the impella is placed, where is the outflow cage located?
What is the Ascending Aorta/above aortic valve
What does CPO stand for?
What is Cardiac Power Output
(calculation: map x CO / 451)
How many Soft buttons does the AIC have?
What is 5
What is the recommend ACT for a patient on impella support.
What is ACT of 160-180
Before and after you move an impella patient, what is something very important for you to check?
What is make sure the touhy valve is locked
What is the measurement of the inlet to the aortic valve that we want to achieve on ECHO?
What is 3.5CM
This Vessel size is needed to place an impella CP.
(Hint: what age does a child start kindergarten?)
What is 5mm
With the impella CP smartassist, besides motor current, what other two waveforms will you see on the placement screen?
What is Aortic and Left Ventricle waveforms
If a patient starts having pink/red urine, What must you rule out?
What is hemolysis
When a suction alarm occurs, what are the three Ps you should consider?
What is Preload, Position, and Possible right heart failure.
True or False: It is okay for an impella patient to have a blood pressure of 80/70.
What is True!
(Impella is a percutaneous LVAD. Goal is for our MAP to be 60 or greater).
What is the French size of the impella sheath?
What is 14 French
True or False: The Impella CP and impella 5.0 will both show Aortic waveforms for the Placement signal.
What is False.
(Impella 5.0 has a differential pressure)
The French size of the impella RP cannula is?
What is 22 French
When a patient is on ECMO and impella support, what is the goal of impella?
What is to unload and rest the heart.
(Remember, ECMO does not treat the disease but buys you time to treat the disease. ECMO also backloads the heart causing it to work harder)
What calculation can be used to identify Right Ventricular failure
What is PaPi?
(PA systolic - PA Diastolic / CVP)
>2 is normal
1-2 signs of dysfunction
<1 is failure