4403 Mechanical Circulatory Support Devices

Question 1

VAD

Answer 1

Usually Pulseless
ECG shows native heart rhythm
No NTG
May perform chest compressions for V-Tach/Fib or asystole
May cardiovert, pace, or defib
Must ausculatate LUQ for hum
Usually have ICD
Standard BP doesn't work

Question 2

TAH

Answer 2

Pulsatile
ECG meaningless
Use NTG for BP>140
No chest compressions
Do not cardiovert, pace, or defib
Audible without stethoscope
No ICD
BP works