The charge nurse has a Vigileo pulse contour cardiac output monitoring system available for use in the surgical intensive care unit. For which patient is use of this device most appropriate?Not quite, you're still learning!A patient with a history of aortic insufficiency admitted with a postoperative myocardial infarctionA mechanically ventilated patient with cardiogenic shock being treated with an intraaortic balloon pumpA patient with a history of atrial fibrillation having frequent episodes of paroxysmal supraventricular tachycardiaA mechanically ventilated patient admitted following repair of an acute bowel obstruction
Question
The charge nurse has a Vigileo pulse contour cardiac output monitoring system available for use in the surgical intensive care unit. For which patient is use of this device most appropriate?Not quite, you're still learning!A patient with a history of aortic insufficiency admitted with a postoperative myocardial infarctionA mechanically ventilated patient with cardiogenic shock being treated with an intraaortic balloon pumpA patient with a history of atrial fibrillation having frequent episodes of paroxysmal supraventricular tachycardiaA mechanically ventilated patient admitted following repair of an acute bowel obstruction
Solution
The Vigileo pulse contour cardiac output monitoring system is most appropriate for a mechanically ventilated patient with cardiogenic shock being treated with an intraaortic balloon pump.
Here's why:
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The Vigileo system is designed to monitor cardiac output, which is the volume of blood the heart pumps per minute. This is crucial in patients with cardiogenic shock, a condition where the heart can't pump enough blood to meet the body's needs.
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The system is also compatible with mechanical ventilation and intraaortic balloon pump therapy. The intraaortic balloon pump is used to help the heart pump more blood and can increase cardiac output, which the Vigileo system can accurately monitor.
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Patients with aortic insufficiency or atrial fibrillation may also benefit from cardiac output monitoring, but the presence of cardiogenic shock and the use of an intraaortic balloon pump makes the second patient the most appropriate candidate for the Vigileo system.
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The system may not provide accurate readings in patients with arrhythmias like atrial fibrillation or in patients with acute bowel obstruction where hemodynamic instability may be caused by factors other than cardiac output.
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