Provider HeartMate 3™ LVAD Quiz – myactioneducation.org

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HeartMate 3™ LVAD HeartMate 3™ LVAD Quiz Provider HeartMate 3™ LVAD Quiz

Provider HeartMate 3™ LVAD Quiz

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Question 1 of 13

1. Question
Choose the markers that you may look at to ensure the patient has a good cardiac output?
- Cardiac index >2.4L/m2
- Adequate mixed venous saturation
- Good markers of end organ perfusion
- Tolerance to enteral nutrition
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Question 2 of 13

2. Question
Your patient with the HeartMate 3™ has no palpable pulse. What would be the appropriate response?
- Begin CPR
- Nothing, this is normal
- Increase HR setting
- Notify physician
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Question 3 of 13

3. Question
What parameter can you alter on the HeartMate 3™ to alter flow to the patient?
- Power
- PI
- RPM
- Flow
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Question 4 of 13

4. Question
How long is the battery life of two HeartMate 3™ fully charged batteries?
- 2 hours
- 4 hours
- 8 hours
- 17 hours
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Question 5 of 13

5. Question
For the HeartMate 3™ what happens if you disconnect both power cords at the same time?
- Pump will stop
- Backup battery will keep the pump running for an additional 15 minutes but a red hazard alarm with show and the pump will alarm for double power disconnect
- The pump will drop speed
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Question 6 of 13

6. Question
Select reasons that the patient may have a PI event.
- Cough
- Arrhythmias
- Suction of ventricular tissue
- Bowel movement
- Change in position
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Question 7 of 13

7. Question
What happens to the pump when a PI event occurs?
- RPM decrease to the lower speed limit (usually set at 200-400 RPM below speed) and ramps back up by itself to the fixed speed in 50 rpm increments
- RPM decrease all the way down to 4000 rpm and you must increaser speed slowly back to fixed speed
- None of the above
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Question 8 of 13

8. Question
If your patients PI increases from baseline around 2 to 7, what should you consider as a potential issue?
- High blood pressure
- Dehydrated
- Patient movement
- Fluid overload
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Question 9 of 13

9. Question
What indicator(s) do you look for to make sure the pump is running?
- Audible hum with stethoscope
- Green circle light on controller
- All of the above
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Question 10 of 13

10. Question
Before getting the patient out of bed, what should the nurse do first in order to change the patient from AC power to battery power with the HeartMate 3™?
- Disconnect driveline
- Complete controller self-test
- Verify adequate charge to new batteries
- Perform a controller exchange
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Question 11 of 13

11. Question
11. A patient with a HeartMate 3™ LVAD has a 50 beat run of ventricular tachycardia. The patient was asymptomatic but the device flows temporarily decreased from 4.5 to 3.8 during the dysrhythmia. The nurse knows that:
- This is a normal finding for VAD patients.
- The dysrhythmia can affect the right ventricle’s function and cause low preload into the device.
- The patient should stand up and walk around to stop the v-tach.
- The patient should immediately be cardioverted to prevent further drop in flows.
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Question 12 of 13

12. Question
The HeartMate 3™ is FDA approved to be implanted in children and adolescents.
- True
- False
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Question 13 of 13

13. Question
Check the signs and symptoms of RV failure after LVAD placement.
- LVAD filling appropriately and good cardiac output
- Liver congestion detected by changes in lab values
- Poor urine output
- CVP <10 mmhg
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