Hi fellow nurses!
I have a question about impellas.
I am relatively new to the CCU and critical care in general. I certainly have my work cut out for me as far as learning goes. But there is one concept that I am really struggling to learn. I had my first impella the other night, and boy are the confusing. I understand the relative concept. I understand that it assists in moving blood into the aorta and increases CO in patients with cardiogenic shock. So I have two questions.
1)Why impella vs IABP. I asked the perfusionist working with me, and he gave me an answer that was way over my head.
2) does anyone happen to have a policy or procedure from their hospital developed for an impella?? Like we keep ours on heparin gtts with a tight PTT window from 45-55, but we do not have an impella order sheet or procedure list, we are essentially relying on the physicians to order all necessary things.
I would greatly appreciate any comments or help on this one. THANKS!!!!