IABP

Question 1

Indications for IABP

Answer 1

Acute MI w/cardiogenic shock, post CABG
Cardiogenic Shock-objective signs of shock d/t heart failure: PAWP > 18-20, decreased UOP < 0.5 ml/kg/hr, SPB< 80 mmHg

Question 2

Contraindications IABP

Answer 2

Aortic Insufficiency/disease
Severe peripheral vascular disease
Aortic regurgitation
Heparin induced thrombocytopenia

Question 3

What is the position of the IABP?

Answer 3

Just below subclavian & above renal arteries.

Question 4

IABP________systole.

Answer 4

Augments

Question 5

During systole the balloon of the IABP is___________.

Answer 5

Deflated

Question 6

The IABP ___________ diastolic pressure.

Answer 6

Maximizes

Question 7

During Diastole the balloon of the IABP is ___________.

Answer 7

Inflated

Question 8

What has happened if you see rust colored flakes in the IABP tubing?

Answer 8

The tubing has ruptured
(Clotted RBC mixed with helium)

Question 9

If power failure, manually pump the IABP every ________ to prevent blood from clotting on the balloon.

Answer 9

3-5 minutes

Question 10

What are the triggers for the IABP?

Answer 10

EKG, pressure, pacer