IABP - QuickReference - Systematic Approach To Evaluating IABP Timing

Systematic Approach to Evaluating Systematic Approach to Evaluating Systematic Approach to Evaluating Systematic Approach to Evaluating Systematic Approach to Evaluating
IABP Timing IABP Timing IABP Timing IABP Timing IABP Timing
1. Are you in 1:2? 1. Are you in 1:2? 1. Are you in 1:2? 1. Are you in 1:2? 1. Are you in 1:2?
2. Identify heart rhythm 2. Identify heart rhythm 2. Identify heart rhythm 2. Identify heart rhythm 2. Identify heart rhythm
3. Find “camel hump” 3. Find “camel hump” 3. Find “camel hump” 3. Find “camel hump” 3. Find “camel hump”
4. Evaluate inflation timing @ dicrotic notch 4. Evaluate inflation timing @ dicrotic notch 4. Evaluate inflation timing @ dicrotic notch 4. Evaluate inflation timing @ dicrotic notch 4. Evaluate inflation timing @ dicrotic notch
(sharp “V”) (sharp “V”) (sharp “V”) (sharp “V”) (sharp “V”)
5. Evaluate deflation timing (sharp “V”) 5. Evaluate deflation timing (sharp “V”) 5. Evaluate deflation timing (sharp “V”) 5. Evaluate deflation timing (sharp “V”) 5. Evaluate deflation timing (sharp “V”)
6. Compare systoles (unassisted vs assisted) 6. Compare systoles (unassisted vs assisted) 6. Compare systoles (unassisted vs assisted) 6. Compare systoles (unassisted vs assisted) 6. Compare systoles (unassisted vs assisted)
Assisted Systole should be lower Assisted Systole should be lower Assisted Systole should be lower Assisted Systole should be lower Assisted Systole should be lower
7. Compare diastoles (unassisted vs assisted) 7. Compare diastoles (unassisted vs assisted) 7. Compare diastoles (unassisted vs assisted) 7. Compare diastoles (unassisted vs assisted) 7. Compare diastoles (unassisted vs assisted)
Assisted EDP should be lower Assisted EDP should be lower Assisted EDP should be lower Assisted EDP should be lower Assisted EDP should be lower
Diastolic Augmentation
Unassisted Systole
Assisted Systole
DN
Unassisted
End-Diastolic Pressure Assisted
End-Diastolic
Pressure
Systematic Approach to Evaluating Systematic Approach to Evaluating Systematic Approach to Evaluating Systematic Approach to Evaluating Systematic Approach to Evaluating
IABP Timing IABP Timing IABP Timing IABP Timing IABP Timing
1. Are you in 1:2? 1. Are you in 1:2? 1. Are you in 1:2? 1. Are you in 1:2? 1. Are you in 1:2?
2. Identify heart rhythm 2. Identify heart rhythm 2. Identify heart rhythm 2. Identify heart rhythm 2. Identify heart rhythm
3. Find “camel hump” 3. Find “camel hump” 3. Find “camel hump” 3. Find “camel hump” 3. Find “camel hump”
4. Evaluate inflation timing @ dicrotic notch 4. Evaluate inflation timing @ dicrotic notch 4. Evaluate inflation timing @ dicrotic notch 4. Evaluate inflation timing @ dicrotic notch 4. Evaluate inflation timing @ dicrotic notch
(sharp “V”) (sharp “V”) (sharp “V”) (sharp “V”) (sharp “V”)
5. Evaluate deflation timing (sharp “V”) 5. Evaluate deflation timing (sharp “V”) 5. Evaluate deflation timing (sharp “V”) 5. Evaluate deflation timing (sharp “V”) 5. Evaluate deflation timing (sharp “V”)
6. Compare systoles (unassisted vs assisted) 6. Compare systoles (unassisted vs assisted) 6. Compare systoles (unassisted vs assisted) 6. Compare systoles (unassisted vs assisted) 6. Compare systoles (unassisted vs assisted)
Assisted Systole should be lower Assisted Systole should be lower Assisted Systole should be lower Assisted Systole should be lower Assisted Systole should be lower
7. Compare diastoles (unassisted vs assisted) 7. Compare diastoles (unassisted vs assisted) 7. Compare diastoles (unassisted vs assisted) 7. Compare diastoles (unassisted vs assisted) 7. Compare diastoles (unassisted vs assisted)
Assisted EDP should be lower Assisted EDP should be lower Assisted EDP should be lower Assisted EDP should be lower Assisted EDP should be lower
IABP Documentation IABP Documentation IABP Documentation IABP Documentation IABP Documentation
Q 15 min x4, Q 30 min x 2, then Q 1 hr Q 15 min x4, Q 30 min x 2, then Q 1 hr Q 15 min x4, Q 30 min x 2, then Q 1 hr Q 15 min x4, Q 30 min x 2, then Q 1 hr Q 15 min x4, Q 30 min x 2, then Q 1 hr
• VS & Hemodynamic Parameters • VS & Hemodynamic Parameters • VS & Hemodynamic Parameters • VS & Hemodynamic Parameters • VS & Hemodynamic Parameters
• LUE & BLE Pulses & CWMS • LUE & BLE Pulses & CWMS • LUE & BLE Pulses & CWMS • LUE & BLE Pulses & CWMS • LUE & BLE Pulses & CWMS
• Insertion Site (Bleeding/Hematoma) • Insertion Site (Bleeding/Hematoma) • Insertion Site (Bleeding/Hematoma) • Insertion Site (Bleeding/Hematoma) • Insertion Site (Bleeding/Hematoma)
Q 1 hr Q 1 hr Q 1 hr Q 1 hr Q 1 hr
• IABP Pressures (1:2 √ timing if pt stable) • IABP Pressures (1:2 √ timing if pt stable) • IABP Pressures (1:2 √ timing if pt stable) • IABP Pressures (1:2 √ timing if pt stable) • IABP Pressures (1:2 √ timing if pt stable)
• Console Settings Mode, Trigger, Fre- • Console Settings Mode, Trigger, Fre- • Console Settings Mode, Trigger, Fre- • Console Settings Mode, Trigger, Fre- • Console Settings Mode, Trigger, Fre-
quency, AUG Alarm Limit quency, AUG Alarm Limit quency, AUG Alarm Limit quency, AUG Alarm Limit quency, AUG Alarm Limit
• Urine Output • Urine Output • Urine Output • Urine Output • Urine Output
• Tubing (from site to console!) • Tubing (from site to console!) • Tubing (from site to console!) • Tubing (from site to console!) • Tubing (from site to console!)
• Catheter LDA assessment & Securement • Catheter LDA assessment & Securement • Catheter LDA assessment & Securement • Catheter LDA assessment & Securement • Catheter LDA assessment & Securement
Q Shift Q Shift Q Shift Q Shift Q Shift
• Type of catheter (fiber-optic) • Type of catheter (fiber-optic) • Type of catheter (fiber-optic) • Type of catheter (fiber-optic) • Type of catheter (fiber-optic)
• Print & post 1:2 IABP waveform • Print & post 1:2 IABP waveform • Print & post 1:2 IABP waveform • Print & post 1:2 IABP waveform • Print & post 1:2 IABP waveform
• Note; Care Plan; Pt/Family education • Note; Care Plan; Pt/Family education • Note; Care Plan; Pt/Family education • Note; Care Plan; Pt/Family education • Note; Care Plan; Pt/Family education
Daily— Ankle/Brachial Index Daily— Ankle/Brachial Index Daily— Ankle/Brachial Index Daily— Ankle/Brachial Index Daily— Ankle/Brachial Index
IABP Safety Checks IABP Safety Checks IABP Safety Checks IABP Safety Checks
IABP Safety Checks • Timing Q1hr & PRN rhythm/pressure ∆ • Timing Q1hr & PRN rhythm/pressure ∆ • Timing Q1hr & PRN rhythm/pressure ∆ • Timing Q1hr & PRN rhythm/pressure ∆
• Timing Q1hr & PRN rhythm/pressure ∆ • Balloon waveform • Balloon waveform • Balloon waveform • Balloon waveform
• Balloon waveform • Helium tank level • Helium tank level • Helium tank level • Helium tank level
• Helium tank level • TAP System & Heel Protector • TAP System & Heel Protector • TAP System & Heel Protector • TAP System & Heel Protector
• TAP System & Heel Protector • C/D/I; Dressing ∆ Q 7 days & PRN • C/D/I; Dressing ∆ Q 7 days & PRN • C/D/I; Dressing ∆ Q 7 days & PRN • C/D/I; Dressing ∆ Q 7 days & PRN
• C/D/I; Dressing ∆ Q 7 days & PRN • StatLock securement & immobilizer • StatLock securement & immobilizer • StatLock securement & immobilizer • StatLock securement & immobilizer
• StatLock securement & immobilizer • ECG patch ∆ Q24 Hr, even if taped • ECG patch ∆ Q24 Hr, even if taped • ECG patch ∆ Q24 Hr, even if taped • ECG patch ∆ Q24 Hr, even if taped
• ECG patch ∆ Q24 Hr, even if taped • Daily CXR, Hgb/Hct, Plt • Daily CXR, Hgb/Hct, Plt • Daily CXR, Hgb/Hct, Plt • Daily CXR, Hgb/Hct, Plt
IABP Documentation IABP Documentation IABP Documentation IABP Documentation IABP Documentation
Q 15 min x4, Q 30 min x 2, then Q 1 hr Q 15 min x4, Q 30 min x 2, then Q 1 hr Q 15 min x4, Q 30 min x 2, then Q 1 hr Q 15 min x4, Q 30 min x 2, then Q 1 hr Q 15 min x4, Q 30 min x 2, then Q 1 hr
• VS & Hemodynamic Parameters • VS & Hemodynamic Parameters • VS & Hemodynamic Parameters • VS & Hemodynamic Parameters • VS & Hemodynamic Parameters
• LUE & BLE Pulses & CWMS • LUE & BLE Pulses & CWMS • LUE & BLE Pulses & CWMS • LUE & BLE Pulses & CWMS • LUE & BLE Pulses & CWMS
• Insertion Site (Bleeding/Hematoma) • Insertion Site (Bleeding/Hematoma) • Insertion Site (Bleeding/Hematoma) • Insertion Site (Bleeding/Hematoma) • Insertion Site (Bleeding/Hematoma)
• IABP Pressures (1:2 √ timing if pt stable) • IABP Pressures (1:2 √ timing if pt stable) • IABP Pressures (1:2 √ timing if pt stable) • IABP Pressures (1:2 √ timing if pt stable) • IABP Pressures (1:2 √ timing if pt stable)
• Console Settings Mode, Trigger, Fre- • Console Settings Mode, Trigger, Fre- • Console Settings Mode, Trigger, Fre- • Console Settings Mode, Trigger, Fre- • Console Settings Mode, Trigger, Fre-
quency, AUG Alarm Limit quency, AUG Alarm Limit quency, AUG Alarm Limit quency, AUG Alarm Limit quency, AUG Alarm Limit
• Urine Output • Urine Output • Urine Output • Urine Output • Urine Output
• Tubing (from site to console!) • Tubing (from site to console!) • Tubing (from site to console!) • Tubing (from site to console!) • Tubing (from site to console!)
• Catheter LDA assessment & Securement • Catheter LDA assessment & Securement • Catheter LDA assessment & Securement • Catheter LDA assessment & Securement • Catheter LDA assessment & Securement
Q Shift Q Shift Q Shift Q Shift Q Shift
• Type of catheter (fiber-optic) • Type of catheter (fiber-optic) • Type of catheter (fiber-optic) • Type of catheter (fiber-optic) • Type of catheter (fiber-optic)
• Print & post 1:2 IABP waveform • Print & post 1:2 IABP waveform • Print & post 1:2 IABP waveform • Print & post 1:2 IABP waveform • Print & post 1:2 IABP waveform
• Note; Care Plan; Pt/Family education • Note; Care Plan; Pt/Family education • Note; Care Plan; Pt/Family education • Note; Care Plan; Pt/Family education • Note; Care Plan; Pt/Family education
Daily— Ankle/Brachial Index Daily— Ankle/Brachial Index Daily— Ankle/Brachial Index Daily— Ankle/Brachial Index Daily— Ankle/Brachial Index
IABP Safety Checks IABP Safety Checks IABP Safety Checks IABP Safety Checks IABP Safety Checks
• Timing Q1hr & PRN rhythm/pressure ∆ • Timing Q1hr & PRN rhythm/pressure ∆ • Timing Q1hr & PRN rhythm/pressure ∆ • Timing Q1hr & PRN rhythm/pressure ∆ • Timing Q1hr & PRN rhythm/pressure ∆
• Balloon waveform • Balloon waveform • Balloon waveform • Balloon waveform • Balloon waveform
• Helium tank level • Helium tank level • Helium tank level • Helium tank level • Helium tank level
• TAP System & Heel Protector • TAP System & Heel Protector • TAP System & Heel Protector • TAP System & Heel Protector • TAP System & Heel Protector
• C/D/I; Dressing ∆ Q 7 days & PRN • C/D/I; Dressing ∆ Q 7 days & PRN • C/D/I; Dressing ∆ Q 7 days & PRN • C/D/I; Dressing ∆ Q 7 days & PRN • C/D/I; Dressing ∆ Q 7 days & PRN
• StatLock securement & immobilizer • StatLock securement & immobilizer • StatLock securement & immobilizer • StatLock securement & immobilizer • StatLock securement & immobilizer
• ECG patch ∆ Q24 Hr, even if taped • ECG patch ∆ Q24 Hr, even if taped • ECG patch ∆ Q24 Hr, even if taped • ECG patch ∆ Q24 Hr, even if taped • ECG patch ∆ Q24 Hr, even if taped

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Systematic Approach to Evaluating Systematic Approach to Evaluating Systematic Approach to Evaluating Systematic Approach to Evaluating Systematic Approach to Evaluating

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