@nursedosepodcast: 🫀 Pulse Index (PI) — What’s It Really Telling You? If you’re taking care of a patient with a LVAD (Heartmate specifically), you’ve probably seen that PI number on the controller. But what does it actually mean? Here’s your quick breakdown ⬇️ ✅ A higher PI means the patient’s heart is still contributing ⬇️ A lower PI means the LVAD is doing most of the work PI is influenced by: 🫀 LV contractility 🔁 LVAD speed A sudden drop in PI? Think: 🚨 Hypovolemia 🚨 Suction events 🚨 Arrhythmias 🚨 Tamponade A rising PI? Could be: 📈 Fluid overload 📈 Improved heart function 📉 Or a speed change Bottom line: Don’t chase the number—watch the trend and pair it with MAP, echo, and clinical signs. . Check out the ICU STARTER BUNDLE and the other Nurse Dose Cheat Sheets/Resources in the bio! . Follow for more ICU nursing education! 🎓 . #cvicu #cardiacnurse #criticalcare #nursingschool #icunurse #newgradnurse #newgradrn #nursesofinstagram #icunurselife #flightnurse #criticalcarenurse #emergencydepartment #nurselife #paramedic #ernurses #medicalstudents

NurseDosePodcast
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Tuesday 01 April 2025 00:21:09 GMT
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theparamedicguy
Brandon | The Paramedic Guy :
Great information! Many providers don’t understand PI clearly like you explained here
2025-04-01 00:39:00
7
denisediorrr1
Jada :
So would htn cause PI to increase or decrease
2025-04-01 01:42:09
0
americanglizzygobbler
user9380789666565 :
Asystole with an LVAD will have a pulse index of 1
2025-04-01 12:54:11
1
rn2tinyheroes
Rn2tinyheroes 📚🏥 :
RVAD, LVAD and VV ECMO. Why would the lvad PI be 11-12?? Heart is not recovering and no increased contractility. ???? Thank you!!
2025-04-02 09:52:43
0
luivhdzz
Luis :
Post op Lvad who’s bleeding out from chest tubes- going down on speed to account for volume loss- however patient is having right sided dysfunction from bolusing products. Are we just adding a RVAD?
2025-04-01 01:22:16
0
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