A patient with cardiogenic shock is being prepared for air transport. They have been stabilized with a circulatory assist device. During transport, the patient starts to exhibit symptoms of chest pain and hypotension. Which of the following is the most likely cause of these symptoms?
The most likely cause of chest pain and hypotension in a patient with a circulatory assist device is malposition or migration of the balloon, which can impair coronary and systemic perfusion. It is important to confirm the proper position of the device and ensure it is functioning correctly. Inadequate sedation, external chest compression, or a non-functioning assist device could also cause symptoms, but are less likely to simultaneously cause both chest pain and hypotension.
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What is a circulatory assist device, and how does it function?
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Why does balloon malposition or migration cause chest pain and hypotension?
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How is proper positioning of a balloon assist device confirmed during transport?
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BCEN CFRN
Medical Emergencies
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