IMPELLA
Fill in the blank: Preload_______, Afterload sensitive
What is Dependent?
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 Impella CP 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?
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 in the ventricle is called this
Hint- the wire is loaded into this part
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 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?
Following a HRPCI, weaning of Impella is initiated. Within what range should you MAP remain?
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 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 Impella CP outlet 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
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 Epinephrine and Levophed drips. 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 or repo sheath?
A Bee Gees song that is the correct tempo for CPR
What is Stayin’ Alive?
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?
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?
You have continued suction alarms on the AIC. The CVP is 15, ECHO shows the Impella CP 3.5cm from aortic valve in mid-ventricular space. This could be the cause of the suction alarms.
What is RV Failure?
*Calculate a PAPi, ECHO check RV when checking Impella placement.
PAPi= PAs-PAd/CVP
PAPi<1.5 Severe RVF
PAPi >2 Normal
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?