Page 294 - Cardiac Nursing

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270 P A R T III / Assessment of Heart Disease
AICD
pacer
AICD
pacer tip
■ Figure 12-3 Correct intra-aortic balloon pump (IABP) place- ■ Figure 12-4 The IABP is placed too high into the left subclavian
ment in aortic knob. The IABP tip is just distal to the left subclavian artery (see white arrow). This IABP was inserted at the bedside for a
artery. The patient has significant cardiomegaly and also has an im- cardiac transplant patient in acute rejection and cardiogenic shock.
plantable defibrillator (AICD) pacer. The tip is above the aortic knob into the left subclavian artery. On ex-
amination, the patient had no left radial or brachial pulse until the
IABP was pulled back 4 cm.
AICD
pacer
PICC
line
IABP
tip
PA
catheter
tip

■ Figure 12-5 The pulmonary artery (PA) catheter tip is out too far. The tip of the PA catheter lies several
centimeters beyond the hilum and is at risk for spontaneous wedge and pulmonary infarction. The patient also
has an automatic implantable cardioverter defibrillator (AICD), peripherally inserted central catheter (PICC)
line, and IABP.