IMPELLA
Fill in the blank: Preload_______, Afterload sensitive
What is Dependent?
The Impella sheath wire can be replaced by this type of wire
What is an Amplatz Wire?
This is recommended ACT for insertion for Impella?
What is >250?
Who should staff call when the phyician is going to use an Impella?
What is the Abiomed REP?
When an Impella is not in optimal position or there is not enough volume, this alarm occurs
What is Suction Alarm?
The inlet is positioned here
What is the Left Ventricle?
1970’s song that suggests that more than one eats dirt. Metaphorically speaking fails or dies.
What is Another One Bites the Dust?
If you drop the Impella sheath, this is the recommended replacement sheath
What is another Impella 14fr Sheath?
DAILY DOUBLE
Place your wagers!
The purge tubing has a loose connection. Dextrose is leaking out causing a pressure change. This alarm would be present
A STEMI patient that has a SBP < 90mmHG, tachy, sweaty, SOB, pale, weak pulse is experiencing this
What is Cardiogenic Shock?
This functions to secure the catheter & helps prevent pump migration when tightened. Hint: it is attached to the anti-contamination sleeve
What is Tuohy Borst Valve?
DAILY DOUBLE
Place your wagers!
Peel away sheath has been removed: Contrast can be injected here to access distal limb perfusion
The curled portion of the Impella that assists with stabilizing the position of the pump is called this
What is the Pigtail?
Metaphorical journey up several steps to a paradise
What is Stairway to Heaven?
This is the function of the purge solution
What is Protect the Motor?
This is the soft button on the AIC used to change P levels
What is Flow Control?
This waveform on the AIC should be pulsatile as long as the Impella CP is in the correct position
What is the Green Motor Current?
This should be inserted to monitor pressures and volume status
What is a Swan?
What is 60-80?
This number on the catheter shaft should be documented on handoff to ICU nurse and helps monitor for device migration
What are CM Markings?
Once upon a time there was light in my life but now there’s only love in the dark nothing I can say a….
What is a total eclipse of the heart?
This device delivers up to 4.3L of flow in systole and directly unloads the LV
What is the Impella CP?
The AIC will last this long unplugged from a power source
What is 60 Minutes?
The MD might ask for if the LVEDP is low
What is fluid bolus or volume?
This is inserted to assist with detecting hemolysis, monitor end organ perfusion and can give patient relief
What is a Foley Catheter?
After moving from the table to the bed, the placement signal has a "LV" appearance with a flat motor current. What alarm would be present?
What is Impella position in ventricle?
The optical sensor is located on the cannula near the outlet and sits where in the body
What is the Aorta?
A road that leads to a very hot place
What is Highway to Hell?
DAILY DOUBLE
Place your wagers!
These are used to secure the repositioning sheath. Using Best Practices, they are placed on either side of the blue hub and can also help reduce bleeding at the groin site
There are 4 main things that lead to suction alarms: low volume, right heart failure, clot and this…
What is Positioning?
The red placement signal waveform should mimic this
What is AO waveform?
This helps protect the groin by limiting patient motion and can help secure the Impella CP catheter
What is a Knee Immobilizer?
The Impella CP is on P9 flow is 3.5L/min, the BP is 130/90 (103) & patient is on Epi and Dobutamine. What would you do?
What is Reduce Afterload? (What is Wean Drips?)
The forward tension sutures are tied to this structure on the repo sheath
What is Blue Suture Hub?
One might do this when trying to gain entrance to God’s domain
What is Knocking on Heaven’s Door?
In a perfect world, where every heart is created the same, where should the black radiopaque marker on the cannula be located in the patient’s body?
What is at the Aortic Valve?
Your patient needs to be defibrillated. This is the recommended action for Impella management
What is Nothing?
The LV waveform disappears from the AIC below what P-Level?
What is P-4?
A patient on support should not leave the cath lab in this setting on the AIC
What is Auto?
If the MAP drops below the 60, pt pressure is not stabilizing with drips and the placement signal flattens. What would you do?
What is Considering CPR?
What is the size of the CP Impella peel-away sheath?
What is 14FR?
Roxette tells you to listen to what in this 1980s song
What is listen to your heart?