When an intra-aortic balloon is in place, it is essential for the nurse to frequently assess
a. for a pulse deficit.
b. peripheral pulses distal to the catheter insertion site.
c. bilateral blood pressures.
d. coronary artery perfusion.
B
One complication of intra-aortic balloon support is lower extremity ischemia resulting from occlusion of the femoral artery by the catheter itself or by emboli caused by thrombus formation on the balloon. Although ischemic complications have decreased with sheathless insertion techniques and the introduction of smaller balloon catheters, evaluation of peripheral circulation remains an important nursing assessment. The presence and quality of peripheral pulses distal to the catheter insertion site are assessed frequently along with color, temperature, and capillary refill of the involved extremity. Signs of diminished perfusion must be reported immediately.
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