When the patient is being monitored for cardiogenic shock with one of the devices like extracorporeal life support, left ventricular assist device, or intraaortic balloon pump, what lab value must be monitored to prevent these devices from becoming clotted?
  1. Potassium and sodium
  2. Prothrombin time, International Normalized Ratio (INR)
  3. Cardiac markers and Troponin
  4. B-type Natriuretic Peptide
Explanation
Answer: B - To prevent the extracorporeal life support, left ventricular assist device, or intraaortic balloon pump from becoming clotted, the PT and INR must be monitored as these laboratory values reflect the tendency of the blood to clot.
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