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ECMO Specialist Exam Questions & Answers Latest Update

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ECMO Specialist Exam Questions & Answers Latest Update



ECMO Specialist Exam Questions &
Answers Latest Update
How to recognize cardiogenic shock? (acronym) - ✔-CS-MODE

Cardiac Rhythm

SBP <90

Markers- cardiac

Output- oliguria

Drips - Inotropes/ pressers

Exam - cool, clammy, resp distress



How to diagnose shock ( acronym) - ✔-(ECLS )

ECG

Consult- surgeon

Labs- lactates, abgs etc.

Swan catheter



what is PAPI score? Formula and normal value - ✔-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



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



normal = 0.7 to 1 W



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


ECMO Specialist Exam Questions & Answers Latest Update

, ECMO Specialist Exam Questions & Answers Latest Update


CPO

Lactate



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



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



normal is 0.9 to 1.7



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



ventricular unloading



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



provides 3-3.5 LPM of flow



what are the 5 factors affecting pharmacokinetics with critical illness? - ✔-1. augmented cardiac output

2. leaky capillaries

3. volume resusitation

4. end-organ perfusion

5. altered protein binding



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



what are the factors 5 affecting pharmacokinetics with ECMO? - ✔-1. augmented cardiac output

2. leaky capillaries

3. end-organ perfusion

ECMO Specialist Exam Questions & Answers Latest Update

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