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©FYNDLAY 2025 ALL RIGHTS RESERVED 5:17 PM A+ 1 ECMO Specialist Exam Questions And Answers |Latest 2025 | Guaranteed Pass How to recognize cardiogenic shock? (acronym) - AnswerCS-MODE Cardiac Rhythm SBP <90 Markers- cardiac Output- oliguria Drips - Inotropes/ pressers Exam - cool, clam...

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  • April 10, 2025
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  • Exam (elaborations)
  • Questions & answers
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©FYNDLAY 2025 ALL RIGHTS RESERVED 5:17 PM A+




ECMO Specialist Exam Questions And
Answers |Latest 2025 | Guaranteed Pass




How to recognize cardiogenic shock? (acronym) - Answer✔CS-MODE
Cardiac Rhythm
SBP <90
Markers- cardiac
Output- oliguria
Drips - Inotropes/ pressers
Exam - cool, clammy, resp distress



How to diagnose shock ( acronym) - Answer✔(ECLS )
ECG
Consult- surgeon
Labs- lactates, abgs etc.
Swan catheter



what is PAPI score? Formula and normal value - Answer✔differentiates between the LV/RV
disfunction, if low = RV dysfunction


PAPi= (sPAP-dPAP)/RA
it is the pa sys - the pa dyastolic / right atrial pressure- can get these numbers from swan
normal is >1.0

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, ©FYNDLAY 2025 ALL RIGHTS RESERVED 5:17 PM A+




Formula for cardiac power output (CPO) and normal value - Answer✔CPO= MAP x CO/451


normal = 0.7 to 1 W



what are the three key measurements for cardiogenic shock? - Answer✔PAPI
CPO
Lactate



what is cardiac power output? - Answer✔amount of energy available to maintain the perfusion
of the vital organs in shock



what does lactate in the blood mean and normal value? - Answer✔anerobic metabolism is
occurring


normal is 0.9 to 1.7



what are the two goals of mechanical circulatory support? - Answer✔restore adequate end
organ perfusion


ventricular unloading



how does the impella CP work as an LV vent? - Answer✔drains at LV and returns at the aortic
arch


provides 3-3.5 LPM of flow




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, ©FYNDLAY 2025 ALL RIGHTS RESERVED 5:17 PM A+


what are the 5 factors affecting pharmacokinetics with critical illness? - Answer✔1. augmented
cardiac output
2. leaky capillaries
3. volume resusitation
4. end-organ perfusion
5. altered protein binding



what is pharmacodynamics? - Answer✔the bodys biological response to the drug



what are the factors 5 affecting pharmacokinetics with ECMO? - Answer✔1. augmented cardiac
output
2. leaky capillaries
3. end-organ perfusion
4. hemodilution
5. drug sequestration



which drugs should you avoid with ecmo? - Answer✔benzos!!! lipophillic and sequester in the
tubing



why do we need anticoagulation on ecmo? - Answer✔blood contacts the ecmo circuit causing a
sirs response and leads to:
inflammation/vasodilation
coagulation
altered fibrinolysis



how does heparin work? - Answer✔Activates antithrombin III -> inactivates thrombin, factor
IXa, & factor Xa.




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