LVAD With Cardioversion For VT

Question 1

List common causes of complications in a patient with a LVAD

Answer 1

Thrombosis, bleeding, infection, arrhythmia, decreased cardiac output, cardiac arrest

Question 2

Your LVAD patient is VSA. Discuss medical and psychosocial factors in your decision to initiate CPR.

Answer 2

Medical factors that should be considered when deciding to initiate CPR for a LVAD patient who is in VSA include the patient’s overall condition and prognosis, the presence of any underlying medical conditions, and any potential complications associated with resuscitation. It is important to consider the patient’s prognosis and the risks associated with CPR before proceeding with any interventions. Additionally, the patient’s underlying medical condition should be taken into account, as certain underlying medical conditions can make resuscitation more dangerous or less likely to be successful. Psychosocial factors that should be taken into consideration when deciding to initiate CPR for a LVAD patient in VSA include the patient’s wishes, the wishes of their family and/or caregivers, and the potential emotional consequences on the patient and their loved ones. The patient’s wishes should be respected, and their family should be consulted when possible. Additionally, the potential psychological impact of resuscitation on the patient and their family should be taken into account. If possible, the patient and their family should be provided with support and counseling to help them cope with the potential outcomes of resuscitation.