ABSTRACT
Right ventricular failure is a critical event that quickly improves or deteriorates. Interventions to support the failing right ventricle are extensive, beginning with adequate volume loading and vasopressor support. If these methods are not effective, invasive support is instituted, including intrapulmonary artery balloon counterpulsation and ventricular assist devices. This article discusses volume loading and vasopressive therapy, including drugs and doses. Invasive therapy of intrapulmonary artery balloon counterpulsation and ventricular assist devices are included, as well as institution and weaning procedures. Appropriate nursing considerations and interventions are outlined in detail.
Subject(s)
Heart Failure/therapy , Ventricular Function, Right/physiology , Cardiotonic Agents/therapeutic use , Heart Failure/nursing , Heart Failure/physiopathology , Hemodynamics/drug effects , Humans , Patient Care Planning , Vasodilator Agents/therapeutic use , Ventricular Function, Right/drug effectsABSTRACT
Involvement in complex patient care situations is commonplace in critical care settings today. Nurses come in contact with situations in which new techniques and innovative ideas are being implemented. Nursing management can favorably affect the prognosis of the CABG surgery patient with RV failure receiving intrapulmonary artery balloon pumping. Timing should be adjusted to promote pulmonary blood flow and decrease workload of the RV.
