The Author Of This Document Attempts To Explain What Is

1680 WordsApr 16, 20177 Pages
The author of this document attempts to explain what is a ventricular assist device, its basic function, the reasons for use, possible complications and nursing care aimed to prevent this. Also, the impact that current technology has in the management of Heart Failure, and prolongation of life quality and expectancy while waiting for heart transplant. Furthermore, it reviews the incorporation of essential elements of safe nursing care to current nursing standards of care when caring for patients with ventricular assist device. Also, this document analyses and complete three evidence-base practice articles in nursing care with QSEN guidelines. Lastly, this documents review the safety concerns that are related to the technology when it…show more content…
The Continues flow devices or non-pulsatile contain a centrifugal pump that constantly moves blood from the left ventricle into the aorta there is no pulsatile flow neither ventricular contribution to cardiac output. Furthermore, serves as a bridge o transplant for those patients wait for a heart transplant. Also, full recovery of a ventricle attainment by providing support with a VAD. Lastly as a permanent therapy for patients that are not suitable for a heart transplant. Among the indications for Ventricular Assist Device the presence of decompensated or life-threatening end-stage cardiac disease, for patients with severe circulatory compromise, and when hypo-perfusion, cardiogenic shock, failure to wean off cardiopulmonary bypass after surgery. Also, as destination therapy for patients that are not good candidates for a heart transplant; or inability to wean off from cardiopulmonary bypass after surgery. Thromboembolism the two primary complications include arterial thromboembolism and pump thrombosis. Thrombi forms due to low blood flow to certain areas (aortic valve, dilated ventricle) and infection this can lead to stroke. Hypotension can be an early sign of sepsis, hypovolemia, decreased cardiac output, filling pressure, hypovolemia, right ventricular failure, tamponade, arrhythmias, or device related complications. Hemorrhage or bleeding a major complication that can be caused either by underlying bleeding disorders
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