Vasopressors and Balloon pump
- 0Jun 22, '11 by aobnurseHello all.
I am by no means a CVICU nurse. My speciality is OB. I have a question r/t a family friend. She has been on dialysis for the past 15 yrs and is a very brittle diabetic. She had a recent DMR. Surgery went well...until time to re-start her heart. Long story short, she ended up on a balloon pump and every vasopressor that there is to maintain b/p and co. My question is: what are the potential complications r/t long term Vasopressor use (I'm pretty sure potential loss of limb, but unsure of any other).
Also would like to know about prolonged balloon pump usage.
Any help would be appreciated.
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- 0Jun 23, '11 by BiffbradfordDMR? = Bypass grafts?
Open heart surgery is hell on the body. Anyone's body. Perhaps the heart needs some recovery time, so they put the balloon pump in to help it rest. Inotropes like Dobutamine may have been added as well as the vasopressors. A week on those supports is not unheard of, and will be weaned off as tolerated. Usually they try to wean the balloon pump first, get that out, then work on the drips. Some surgeons will hold off on extubation until the balloon pump is out. CVVH may be started instead of hemodialysis until vitals are more stable. While that's all very scary, it's also very common, unfortunately. Thorough physical assessments are par for the course to make sure side effects are minimized.