Thoratec HeartMate II LVAS, Руководство пользователя

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Table of
Contents
INTRODUCTION................................1
Program Description.....................................1
Program Objective........................................1
Learning Objectives......................................1
SYSTEM OVERVIEW...................................2
Description....................................................2
Warnings & Precautions................................2
SYSTEM COMPONENTS.............................6
HeartMate II LVAD or “Blood Pump”..............6
How the Pump Works....................................6
·
Pump Parameters..................................9
·
Flow.......................................................9
·
Power.....................................................9
·
Pulsatility Index (PI)...............................9
·
Operating Mode...................................10
PERIPHERAL COMPONENTS..................11
System Controller........................................11
Power Base Unit (PBU)...............................13
Batteries & Battery Clips..............................15
Emergency Power Pack (EPP)....................18
System Monitor...........................................18
Display Module............................................26
ALARM CONDITIONS................................27
ROUTINE OPERATING
PROCEDURES.........................................28
Changing from PBU to Battery-
Powered (Untethered) Operation................28
Changing from Batteries to PBU
(Tethered) Operation...................................30
Changing Batteries......................................32
Performing a System Controller
Self Test......................................................33
Changing the System Controller
Battery Module............................................34
Replacing System Controllers.....................35
HANDLING EMERGENCIES......................37
Defibrillation/Cardioversion.........................37
Cardiac Arrest.............................................38
PATIENT MANAGEMENT...........................39
Patient Assessment.....................................39
Potential Risks & Adverse Events...............39
Potential Late
Post-Implant Complications........................39
Caring for the Exit Site.................................40
Caring for the Percutaneous Lead...............40
Controlling Infection....................................41
Measuring Blood Pressure..........................41
Anticoagulation...........................................41
Activities of Daily Living...............................41
·
Sleeping...............................................43
·
Showering............................................44
THORATEC RESOURCES.........................45
Thoratec HeartLine™..................................45
Published Reference Materials...................45
POST TEST.................................................46
COMPETENCY ASSESSMENT
CHECKLIST................................................49
PROGRAM EVALUATION..........................50
NOTES........................................................51
CLINICAL OPERATION AND PATIENT MANAGEMENT
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