Alarms
This color alarm needs immediate action
What is Red?
The ACT for a patient on Impella support should be in this range.
What is 160-180 seconds.
The number to document to verify the Impella hasn’t moved.
What is the purge button?
The inlet of the CP and 5.5 should sit here.
What is the LV?
An alarm that is triggered when there is not enough volume in the LV.
What is suction?
To avoid suction alarms, this value should be at or above 10mmHg.
What is CVP?
This is the preferred additive to D5W for the purge solution.
What is Sodium Bicarb?
This type of valve makes a patient ineligible for a left side Impella.
What is a mechanical valve?
These are the 2 ways to implant the 5.5.
What is axillary and direct aorta?
This alarm occurs when the Impella inlet is pulled back across the aortic valve.
What is Impella in Aorta?
This soft key is where you go to enter the CO on the AIC.
What is Menu?
We document the color and amount of this to verify adequate perfusion and watch for signs of hemolysis.
What is urine output?
This visual aid is used in the ICU to verify Impella position.
What is Echo?
The outlet of the RP should sit here.
What is the PA?
This alarm occurs when the Impella outlet advances forward past the aortic valve.
What is Impella in Ventricle?
This equation tells you a patients CPO and can predict patient mortality.
What is MAP x CO / 451?
This lock will keep the Impella from migrating or getting pulled out.
What is tuohy-borst valve?
The Impella CP is FDA indicated for this many days of use.
What is 4?
The Impella RP is most effective when placed during this time frame of right heart failure.
What is 48 hours?
Continued suction alarms despite an adequate CVP and good Impella position may indicate this.
What is right heart failure?
The value that indicates right heart failure and is determined by PaS - PaD / CVP
What is PAPi?
If the peel away sheath is left in place, this needs to be connected to the side arm.
What is a pressure bag?
DAILY DOUBLE
If your patient’s condition demands more support than the CP can provide, you can escalate to this.
This Impella can deliver up to 6L of support while allowing your patient to ambulate.
What is Impella 5.5?