Interventions to support the failing right ventricle

Right ventricular failure is a critical event that quickly improves or deteriorates. Interventions to support the failing right ventricle are extensive, beginning with adequate volume loading and vasopressor support. If these methods are not effective, invasive support is instituted, including intrapulmonary artery balloon counterpulsation and ventricular assist devices. This article discusses volume loading and vasopressive therapy, including drugs and doses. Invasive therapy of intrapulmonary artery balloon counterpulsation and ventricular assist devices are included, as well as institution and weaning procedures. Appropriate nursing considerations and interventions are outlined in detail.