Practice Quiz

CCRN Critical Care Nursing

Category - Adult

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A patient with unstable angina has an Intra-aortic balloon pump (IABP) inserted. The patient’s hemodynamics are: HR = 148 (sinus tachycardia); MAP = 40 mm Hg; PCWP = 25 mm Hg; CI = 1.4 L/min/m2. Which of the following should be included in this patient's plan of care?
  1. checking timing of the IABP, decreasing balloon to 1:2 frequency
  2. stat echocardiogram, furosemide (Lasix), checking timing of the IABP
  3. dobutamine (Dobutrex), isoproterenol (Isuprel), 12-lead EKG
  4. adenosine, stat Hgb and HCT, dobutamine (Dobutrex)
Explanation
Answer: A - A patient with unstable agina who has been inserted an Intra-aortic balloon pump, needs to be checked for timing of the IABP by decreasing balloon to 1:2 frequency. This procedure forms part of the plan of care for patients with IABP inserted.
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