Sbumc 2011 Heartmate Quiz
Annual Recertification quiz for RN staff which incorporates the clinical operation and patient management of the Heartmate device.
- 1.
The heartmate components include:
- A.
System Controller
- B.
Power Based Unit (PBU)
- C.
System Monitor
- D.
PBU Cable
- E.
All of the Above
Correct Answer
E. All of the AboveExplanation
Heartmate II book page 6Rate this question:
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- 2.
Discribe the differences between the Heartmate I & II? (Choose as many as apply)
- A.
Heartmate I is pulsatile and and Heartmate II is contant turbine flow
- B.
Heartmate I has constant turbine flow and the Heartmate II is pulsatile
- C.
Heartmate I patients require coumadin and Heartmate II do not require coumadin
- D.
Heartmate II patients require coumadin and Heartmate I do not require coumadin
Correct Answer(s)
A. Heartmate I is pulsatile and and Heartmate II is contant turbine flow
D. Heartmate II patients require coumadin and Heartmate I do not require coumadinExplanation
Heartmate I (XVE) book page 34
Heartmate II book page 41
The Heartmate II requires coumadinRate this question:
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- 3.
Should a Heartmate patient ever receive chest compressions?
- A.
Yes, and chemical resuscitation and defibrillation
- B.
No, only chemical resuscitation and defibrillation
Correct Answer
B. No, only chemical resuscitation and defibrillationExplanation
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.Rate this question:
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- 4.
The type of patient that may require the Heartmate is:
- A.
Patient needing coronary bypass grafts
- B.
Patient in heart failure
- C.
Patient in class IV heart failure on max medical management
Correct Answer
C. Patient in class IV heart failure on max medical managementExplanation
Heartmate I (XVE) book page 3
Usually the candidates for the heartmates are on milrinone drip at home and becoming decompensated.Rate this question:
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- 5.
Which of the following is a contraindication for the Heartmate I XVE LVAS?
- A.
Increased PVR
- B.
BSA < 1.5
- C.
Mitral valve regurgitation
Correct Answer
B. BSA < 1.5Explanation
Heartmate I (XVE) book page 3.
Because the heartmate I is much larger than the II, size of the patient is very important.Rate this question:
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- 6.
In a Red Heart Alarm state, which of the following is least likely cause?
- A.
Bleeding
- B.
Right Heart Failure
- C.
Cardiac Tamponade
- D.
Controller Malfunction
Correct Answer
D. Controller MalfunctionExplanation
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.Rate this question:
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- 7.
In the heartmate I when should the vent filter be changed?
- A.
Weekly and PRN
- B.
Monthly
- C.
Never
Correct Answer
A. Weekly and PRNExplanation
Heartmate 1 (XVE) book Page 24
Remember the vent filter protects the heatmate from dust and outside debris.Rate this question:
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- 8.
Before hand pumping in the Heartmate I, you should:
- A.
Disconnect power to the system Controller
- B.
Remove the Controller battery module
- C.
Remove the vent filter
- D.
Both A & C
Correct Answer
D. Both A & CExplanation
Heartmate 1 (XVE) Page 29Rate this question:
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- 9.
The driveline exit site dressing should be:
- A.
Changed daily
- B.
A sterile procedure
- C.
Changed TID and PRN
- D.
Both A & B
Correct Answer
D. Both A & BExplanation
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.Rate this question:
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- 10.
How often should the System Controller self-test be performed?
- A.
Daily
- B.
Weekly
- C.
Never
- D.
When the MD orders it
Correct Answer
A. DailyExplanation
Heartmate 1 (XVE) book page 22, Heartmate II book page 33
Performed to ensure system controller's lights and audio tones are working properlyRate this question:
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- 11.
Blood flow in the Heartmate patient:
- A.
Right atrium, right ventricle, lungs, left atrium, left ventricle, Heartmate, Aorta
- B.
Right atrium, right ventricle, Heartmate, lungs, left atrium, left ventricle, aorta
- C.
Right atrium, right ventricle, lungs, left atrium Heartmate, left ventricle, aorta
Correct Answer
A. Right atrium, right ventricle, lungs, left atrium, left ventricle, Heartmate, AortaExplanation
Blood flow follows native cardiac cycle; The Heartmate pumps blood from weakened left ventricle to the aortaRate this question:
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- 12.
The system controller in the Heartmate II:
- A.
Provides complete backup system operation
- B.
Has event recording and data logging capacity
- C.
Has two seperate controller boards
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
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.Rate this question:
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- 13.
The Heartmate I has 2 modes:
- A.
Fixed and Backup
- B.
Fixed and Auto
- C.
Auto and Backup
Correct Answer
B. Fixed and AutoExplanation
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.Rate this question:
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- 14.
True or False: The Heartmate II has one mode, Fixed
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Heartmate II book page 10
Think of the heartmate II as having a turbine spinning and there is a constant flow.Rate this question:
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- 15.
The steps that should be taken if the pump has stopped include all except:
- A.
Check the percutaneous lead connection to the System Contorller and the System Controller power lead connections to the power source
- B.
Disconnect then reconnect the percutaneous lead to the System Controller
- C.
Change power sources
- D.
Change the System Controller
Correct Answer
B. Disconnect then reconnect the percutaneous lead to the System ControllerExplanation
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.Rate this question:
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- 16.
The PBU cable has 2 cords one white one black, what is the functional capacity of the cords?
- A.
Both cords are the same provide power and data
- B.
The white cord provides data and power while the black cord provides power only
- C.
The black cord provides data and power while the black cord provides power only
Correct Answer
B. The white cord provides data and power while the black cord provides power onlyExplanation
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.Rate this question:
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- 17.
The battery light indicator on the controller each represent what percentage of battery life?
- A.
10%
- B.
50%
- C.
25%
- D.
100%
Correct Answer
C. 25%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.Rate this question:
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- 18.
In the Heartmate II what could be the cause if there are large changes in the Power number ramping up and down?
- A.
The is normal
- B.
Thrombus
- C.
Fluid Overload
Correct Answer
B. ThrombusExplanation
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.Rate this question:
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- 19.
How do you perform the controller self-test?
- A.
Hold down the triangle (I) or battery silence (II) until all the tones and lights start
- B.
It is not possible to perform the controller self-test from the controller
- C.
The heartmate II only has the capability to perform the self-test
Correct Answer
A. Hold down the triangle (I) or battery silence (II) until all the tones and lights startExplanation
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.Rate this question:
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- 20.
What is the intervention if the red battery is illuminated?
- A.
Nothing this is normal
- B.
Change power source you have less than 15 minutes of battery remaining
- C.
Start handpumping
Correct Answer
B. Change power source you have less than 15 minutes of battery remainingExplanation
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.Rate this question:
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- 21.
If the patient is being transported to Cat Scan what should be brought with the patient?
- A.
Extra batteries only
- B.
PBU and extra batteries
- C.
PBU, extra batteries, hand pump (1 only), and the extra controller
Correct Answer
C. PBU, extra batteries, hand pump (1 only), and the extra controllerExplanation
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.Rate this question:
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- 22.
You are expecting a heartmate patient, where do you find the flowsheet and patient education paperwork besides the Heartmate binder?
- A.
Internet
- B.
Print from UHIS Nursing Documents
- C.
Intranet
Correct Answer
B. Print from UHIS Nursing DocumentsExplanation
Hospital approved documentation. The VAD vital signs and numbers from the machine will have a place in the pwerchart soon.Rate this question:
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- 23.
Have you taken care of a heartmate patient?
- A.
Yes, As Primary Nurse
- B.
No, But observed the care
- C.
No, Never seen the device in a patient
- D.
Yes, as a backer
Correct Answer
A. Yes, As Primary NurseExplanation
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.Rate this question:
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- 24.
Do you feel prepared for a heartmate patient, if not what additional information/ education would you need to feel comfortable?
- 25.
What are your resources if you have a question about the heartmate?
- A.
Heartmate Binder with the manuals
- B.
Your Educator
- C.
The VAD coordinator
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
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.Rate this question:
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- 26.
How many hours aprox will it take to drain the new batteries found in the Heartmate II?
- A.
1 hour
- B.
3 hours
- C.
20 hours
- D.
10 hours
Correct Answer
D. 10 hoursExplanation
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.Rate this question:
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- 27.
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.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Heartmate 1 (XVE) book page 16
Heartmate II book page 16Rate this question:
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- 28.
When changing power source, from batteries to the power base unit, which cord black or white should be changed first?
- A.
White
- B.
Black
- C.
Tan
- D.
Both
Correct Answer
A. WhiteExplanation
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.Rate this question:
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Current Version
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Mar 19, 2023Quiz Edited by
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Dec 15, 2010Quiz Created by
Jenclarinet
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