INTRAAORTIC BALLOON PUMP

[MQ Edna]

HOW OFTEN DO YOU RECORD THE ASSISSTED AND UN ASSISSTED PRESSURE AND DIASTOLIC AUGMENTATION FOR IABP?

[felltoddman]

In our unit, we record the (S/A/D) every hour at least, although many of us do it every 15 minutes. I think it depends on how stable the patient is and what kind of drips they're on, along with why the balloon was placed. If they're placed prophylactically for a procedure, they're bound to be more stable than someone who had one placed in the cath lab and was rushed to emergent open heart surgery. I was taught that the reading off the pump is going to be the accurate one, not the art line reading off the bedside monitor and especially not the cuff.

[sweetlilnurse77]

q 15 mins at first, then move to at least q 1 hr if not titrating gtts is typical for our unit

[perkizme]

qhour with vs, unless titrating or procedural/post-procedural checks

[dorimar, BSN, RN]

So if you're 1:1, then you switch it to 1:2 every hour briefly for the readings?

Another question I always had (I am not a CVICU nurse), but when they leave standing orders to treat low bp (and often don't specify), do you use the peak augmentation pressure or the unassisted systoli?