Lewis's Medical Surgical Nursing (11th Edition by Harding
1. Elevated temperature: Increases metabolic demands and oxygen use by
tissues
2. Drop in oxygen saturation: Result of elevated temperature in central
venous blood
3. Intraaortic balloon pump (IABP): Used for a patient in cardiogenic shock
4. Goals of treatment with IABP: Indicated by normal cardiac output
(CO) of 5 L/min
5. Low stroke volume (SV): Signifies continued cardiogenic shock
6. Tachycardia: Suggests continued cardiogenic shock
7. Low urine output: Suggests continued cardiogenic shock
8. Positioning the patient: Supine with head of the bed elevated up to 30
degrees
9. Use of anticoagulant medications: Should be avoided for a patient
with an intra aortic balloon pump
10.Monitoring urinary output: Helps determine improvement in cardiac
output and monitor balloon displacement
11.Limited movement: Allowed for extremity with balloon insertion site
to prevent displacement
12.Heparin: Used to prevent thrombus formation
1. Elevated temperature: Increases metabolic demands and oxygen use by
tissues
2. Drop in oxygen saturation: Result of elevated temperature in central
venous blood
3. Intraaortic balloon pump (IABP): Used for a patient in cardiogenic shock
4. Goals of treatment with IABP: Indicated by normal cardiac output
(CO) of 5 L/min
5. Low stroke volume (SV): Signifies continued cardiogenic shock
6. Tachycardia: Suggests continued cardiogenic shock
7. Low urine output: Suggests continued cardiogenic shock
8. Positioning the patient: Supine with head of the bed elevated up to 30
degrees
9. Use of anticoagulant medications: Should be avoided for a patient
with an intra aortic balloon pump
10.Monitoring urinary output: Helps determine improvement in cardiac
output and monitor balloon displacement
11.Limited movement: Allowed for extremity with balloon insertion site
to prevent displacement
12.Heparin: Used to prevent thrombus formation
