What should you do if signs of hypo-perfusion are present in a VAD patient?

Administering 1 liter of normal saline is the correct response when signs of hypo-perfusion are present in a patient with a Ventricular Assist Device (VAD). Hypo-perfusion indicates inadequate blood flow to meet the body's needs, which can lead to organ dysfunction and other serious complications. Normal saline, being an isotonic fluid, helps to expand the intravascular volume and improve circulation.

In the context of a VAD patient, maintaining adequate perfusion is crucial, as these devices can sometimes mask underlying heart function issues. Rapid volume resuscitation can help restore blood flow and stabilize the patient temporarily while further evaluations and treatments are initiated.

Regarding the other options, initiating advanced life support might not be the immediate response needed for hypo-perfusion unless there are any life-threatening complications that have arisen. Increasing the patient's oxygen supply could be beneficial but does not address the core issue of volume depletion or inadequate perfusion. Requesting a transfer to a higher level of care might be necessary depending on the severity of the situation, but immediate intervention to address hypo-perfusion is essential before making that decision.