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Impella^®

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Provider Impella Quiz

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Question 1 of 14

1. Question

1. Which factors are important when determining if an Impella is right for your patient?

Intent of support
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Planned duration
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Size of the patient and patency of vessels
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All of the above
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Question 2 of 14

2. Question

2. Right-sided devices include

Impella 2.5
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Impella CP
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Impella 5.5
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Impella RP
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Question 3 of 14

3. Question

3. Which of the following are contraindications to Impella device placement?

Presence of a ventricular thrombus
Correct Incorrect Correct answer

Severe AI or stenosis (LVAD) or PI or stenosis (RVAD) or mechanical valves
Correct Incorrect Correct answer

Significant right to left shunts (LVAD)
Correct Incorrect Correct answer

All of the above
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Question 4 of 14

4. Question

4. Which is not one of the most common complications during implant?

Bleeding
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Pump malposition
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Stroke
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Vessel injury
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Question 5 of 14

5. Question

5. A patient receiving Impella VAD therapy requires resuscitation. Which action demonstrates safe resuscitation practice?

Do not defibrillate until the VAD is unplugged from the wall
Correct Incorrect Correct answer

Initiate compressions once P-level is changed
Correct Incorrect Correct answer

Initiate compressions immediately
Correct Incorrect Correct answer

Defibrillate at half the normal number of joules
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Question 6 of 14

6. Question

6. How often must nursing change the purge fluid?

Every 96 hours & prn
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Every 4 hours
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Every 48 hours
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Every 24 hours
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Question 7 of 14

7. Question

7. How quick does nursing have to change the purge cassette?

30 minutes
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15 seconds
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90 seconds
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60 seconds
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Question 8 of 14

8. Question

8. Can an Impella 5.5 patient ambulate?

No
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Yes, may only go with caregiver assistance
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Yes, whenever they want
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Yes, but should go with assistance and consider using right arm sling after discussing with medical team
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Question 9 of 14

9. Question

9. Purge fluid is made up of the following:

Dextrose with Heparin 25u/mL
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Normal Saline
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Lactated Ringer’s
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Dextrose only
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Question 10 of 14

10. Question

10. Which is false about anticoagulation of a patient with an Impella device?

The patient is typically on systemic heparin
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No anticoagulation is recommended
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Anti-platelet therapy is not recommended
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A bolus of heparin should be administered prior to introducing the catheter
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Question 11 of 14

11. Question

11. Which of the following are potential complications of the Impella device?

Infection
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Hemolysis
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Device Failure
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All of the Above
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Question 12 of 14

12. Question

12. Which of the following is indicative of a device clot?

Rise in purge pressure, drop in purge flow
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Rise in both purge pressure and flow
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Drop in both purge pressure and flow
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Purge pressure and flow does not help identify a device clot
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Question 13 of 14

13. Question

13. If defibrillation or cardioversion is required the p-level does not need to be adjusted.

True
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False
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Question 14 of 14

14. Question

14. Which of the following is incorrect when cardiopulmonary arrest occurs in a patient with an Impella device?

Turn the P-level down to P-2
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Perform CPR
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Defibrillation is contraindicated
Correct Incorrect Correct answer

If defibrillation or cardioversion is required do not adjust the P-level and follow usual practice
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