Sbumc 2011 Heartmate Quiz

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1. The heartmate components include:

Explanation

Heartmate II book page 6

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About This Quiz
Medical Training Quizzes & Trivia

Annual Recertification quiz for RN staff which incorporates the clinical operation and patient management of the Heartmate device.

2. How often should the System Controller self-test be performed?

Explanation

Heartmate 1 (XVE) book page 22, Heartmate II book page 33
Performed to ensure system controller's lights and audio tones are working properly

Submit
3. How do you perform the controller self-test?

Explanation

Heartmate 1 (XVE) book page 22
Heartmate II book page 12
Remember once the tones start you can let the button go and the lights and tones will turn off on their own.

Submit
4. What is the intervention if the red battery is illuminated?

Explanation

Heartmate 1 (XVE) book page 17
Heartmate II book page 17
Remember you never want to let the battery get down that low with power. You want to have enough time to switch batteries or power source.

Submit
5. What are your resources if you have a question about the heartmate?

Explanation

Remember to ask questions if you are ever unsure. The VAD coordinator's phone number can be found in the VAD resource binder as well as through the operator.

Submit
6. Should a Heartmate patient ever receive chest compressions?

Explanation

Heartmate II book page 38
Chest compressions should not be preformed because of risk of disruption of the aortic anastomosis or dislodgement of the LVAD inflow tract. Remember to place a sign over the patient's bed to remind everyone that enters that compressions are not to be performed. In a code only medications and shocking can be performed.

Submit
7. True or False: When changing the battery, they must be changed one at a time to ensure a power source to the device at all times.

Explanation

Heartmate 1 (XVE) book page 16
Heartmate II book page 16

Submit
8. The type of patient that may require the Heartmate is:

Explanation

Heartmate I (XVE) book page 3
Usually the candidates for the heartmates are on milrinone drip at home and becoming decompensated.

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9. In the heartmate I when should the vent filter be changed?

Explanation

Heartmate 1 (XVE) book Page 24
Remember the vent filter protects the heatmate from dust and outside debris.

Submit
10. The PBU cable has 2 cords one white one black, what is the functional capacity of the cords?

Explanation

Heartmate II book page 11
Heartmate 1 (XVE) book page 13
One way to remeber this is the white gives you data and you could associate this with white brain matter.

Submit
11. The battery light indicator on the controller each represent what percentage of battery life?

Explanation

Heartmate II book page 17
Remember on the new batteries there is a tester button as well to monitor the amount of energy left in the battery.

Submit
12. If the patient is being transported to Cat Scan what should be brought with the patient?

Explanation

Heartmate 1 (XVE) book page 4
Heartmate II book page 5
Remember you want to be prepared in case you get stuck in the elevator. The LVAD Coordinator or Champion will accompany the patient if they leave the floor.

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13. How many hours aprox will it take to drain the new batteries found in the Heartmate II?

Explanation

The new batteries are lighter and longer lasting. The new charging station has a display that will notify you when the batteries need to be refreshed.

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14. The system controller in the Heartmate II:

Explanation

Heartmate II book Page 11
Even though the controller has a backup controller inside, the controller should never be left on backup. The LVAD coordinator should be called and the controller replaced ASAP.

Submit
15. In the Heartmate II what could be the cause if there are large changes in the Power number ramping up and down?

Explanation

Heartmate II book page 9
Remember the thrombus will block the turbine flow and the machine will try to keep the constant flow and will draw more power to achieve the speed setting.

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16. The Heartmate I has 2 modes:

Explanation

Heartmate 1 (XVE) book page 5
The heartmate I has a pusher plate that mimicks systole and diastole. The patient would be in fixed mode only in the OR and immediate post op period. Otherwise the patient would be in Auto mode so that the heartmate can meet the demands of the patient, for example if the patient was exercising the machine would increase to meet the demands in Auto mode.

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17. True or False: The Heartmate II has one mode, Fixed

Explanation

Heartmate II book page 10
Think of the heartmate II as having a turbine spinning and there is a constant flow.

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18. When changing power source, from batteries to the power base unit, which cord black or white should be changed first?

Explanation

A good way to remember this is if you are going to the Wall power (power base unit) change the White first. Think wall white. The rational is that if you change over the white first you can see the data quicker. It actually does not matter in non-emergent situations as long as the patient was one cord to power source at all times.

Submit
19. Which of the following is a contraindication for the Heartmate I XVE LVAS?

Explanation

Heartmate I (XVE) book page 3.
Because the heartmate I is much larger than the II, size of the patient is very important.

Submit
20. The driveline exit site dressing should be:

Explanation

Heartmate 1 (XVE) Page33
The patient and family member is taught by the LVAD coordiator so that they are prepared to change the dressing at home.

Submit
21. Before hand pumping in the Heartmate I, you should:

Explanation

Heartmate 1 (XVE) Page 29

Submit
22. You are expecting a heartmate patient, where do you find the flowsheet and patient education paperwork besides the Heartmate binder?

Explanation

Hospital approved documentation. The VAD vital signs and numbers from the machine will have a place in the pwerchart soon.

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23. The steps that should be taken if the pump has stopped include all except:

Explanation

Heartmate II book page 37
If you unplug and replug the percutaneous lead this could cause an arching of power and short circuit the system controller, leaving it inoperative.

Submit
24. Blood flow in the Heartmate patient:

Explanation

Blood flow follows native cardiac cycle; The Heartmate pumps blood from weakened left ventricle to the aorta

Submit
25. In a Red Heart Alarm state, which of the following is least likely cause?

Explanation

Red Heart Alarm indicative of low pump flow. Just think the red heart alarm is very bad and you should get the patient immediately back to bed and call the LIP and the LVAD Coordinator.

Submit
26. Have you taken care of a heartmate patient?

Explanation

If there is a heartmate on the unit please let your Clinician know if you feel rusty with the skills and advocate for your education.

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27. Discribe the differences between the Heartmate I & II? (Choose as many as apply)

Explanation

Heartmate I (XVE) book page 34
Heartmate II book page 41
The Heartmate II requires coumadin

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The heartmate components include:
How often should the System Controller self-test be performed?
How do you perform the controller self-test?
What is the intervention if the red battery is illuminated?
What are your resources if you have a question about the heartmate?
Should a Heartmate patient ever receive chest compressions?
True or False: When changing the battery, they must be changed one at...
The type of patient that may require the Heartmate is:
In the heartmate I when should the vent filter be changed?
The PBU cable has 2 cords one white one black, what is the functional...
The battery light indicator on the controller each represent what...
If the patient is being transported to Cat Scan what should be brought...
How many hours aprox will it take to drain the new batteries...
The system controller in the Heartmate II:
In the Heartmate II what could be the cause if there are large changes...
The Heartmate I has 2 modes:
True or False: The Heartmate II has one mode, Fixed
When changing power source, from batteries to the power base unit,...
Which of the following is a contraindication for the Heartmate I XVE...
The driveline exit site dressing should be:
Before hand pumping in the Heartmate I, you should:
You are expecting a heartmate patient, where do you find the flowsheet...
The steps that should be taken if the pump has stopped include all...
Blood flow in the Heartmate patient:
In a Red Heart Alarm state, which of the following is least likely...
Have you taken care of a heartmate patient?
Discribe the differences between the Heartmate I & II? (Choose as...
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