ECMO STUDY QUESTIONS AND CORRECT ANSWERS 100% VERIFIED LATEST UPDATE!!
What are 3 factors that affect oxygen delivery? - (ANSWER)- Hemoglobin
- Cardiac Output / ECMO flow
- Oxygen saturation
Key term for VA-ECMO? - (ANSWER)Partial bypass
Key term for VV-ECMO? - (ANSWER)Partial capture
On which type of ECMO do you run a full code (with compression)? - (ANSWER)VV-ECMO
Which ECMO requires full drugs per ACLS but no compressions in a code? - (ANSWER)VA-ECMO
mL in an ECMO circuit? - (ANSWER)800mL
mL in an ECMO circuit + CVVHD? - (ANSWER)1100mL
In which type of ECMO is SvO2 utilized? - (ANSWER)VA-ECMO
What are the "3 C's" in an ECMO emergency? - (ANSWER)- Clamp
- Call for help
- Compensate for losses in support with drugs and other measures
What is the default anticoagulant used in ECLS? - (ANSWER)Heparin
What are the actions of heparin? - (ANSWER)- Accelerates the action of endogenous antithrombin.
- Inhibits thrombin and factor Xa
, ECMO STUDY QUESTIONS AND CORRECT ANSWERS 100% VERIFIED LATEST UPDATE!!
What is the normal dose of heparin given at the time of ECMO cannulation? - (ANSWER)50 - 100 units /
kg
What blood product is indicated for patients who are heparin resistant 2/2 diminshed antithrombin
levels? - (ANSWER)FFP
What is the standard goal aPTT for ECMO patients being heparinized? - (ANSWER)50 - 75
Clotting that occurs when blood comes into contact with a non-endothelial surface - (ANSWER)Intrinsic
pathway
Clotting that occurs by the release of tissue factor from damaged tissue - (ANSWER)Extrinsic pathway
Current survivial rate of patients put on ECMO for cardiac reasons? - (ANSWER)23 - 71%
What are some contraindications to ECMO? - (ANSWER)- End-stage, irreversible, or inoperable cardiac
disease.
- Significant neurological or end-stage renal impairment.
- Uncontrolled bleeding of major organs.
- Extremes of size or weight (relative)
- Inaccessible vessels during CPR (though femoral is usually accessible)
Placement options for venous drainage of VV-ECMO? - (ANSWER)- Femoral Vein
- R IJ (if an Avalon Cannula)
Both drain venous blood from the SVC
Placement options for return blood of VV-ECMO? - (ANSWER)- Right IJ
- Right Axillary vein
What are 3 factors that affect oxygen delivery? - (ANSWER)- Hemoglobin
- Cardiac Output / ECMO flow
- Oxygen saturation
Key term for VA-ECMO? - (ANSWER)Partial bypass
Key term for VV-ECMO? - (ANSWER)Partial capture
On which type of ECMO do you run a full code (with compression)? - (ANSWER)VV-ECMO
Which ECMO requires full drugs per ACLS but no compressions in a code? - (ANSWER)VA-ECMO
mL in an ECMO circuit? - (ANSWER)800mL
mL in an ECMO circuit + CVVHD? - (ANSWER)1100mL
In which type of ECMO is SvO2 utilized? - (ANSWER)VA-ECMO
What are the "3 C's" in an ECMO emergency? - (ANSWER)- Clamp
- Call for help
- Compensate for losses in support with drugs and other measures
What is the default anticoagulant used in ECLS? - (ANSWER)Heparin
What are the actions of heparin? - (ANSWER)- Accelerates the action of endogenous antithrombin.
- Inhibits thrombin and factor Xa
, ECMO STUDY QUESTIONS AND CORRECT ANSWERS 100% VERIFIED LATEST UPDATE!!
What is the normal dose of heparin given at the time of ECMO cannulation? - (ANSWER)50 - 100 units /
kg
What blood product is indicated for patients who are heparin resistant 2/2 diminshed antithrombin
levels? - (ANSWER)FFP
What is the standard goal aPTT for ECMO patients being heparinized? - (ANSWER)50 - 75
Clotting that occurs when blood comes into contact with a non-endothelial surface - (ANSWER)Intrinsic
pathway
Clotting that occurs by the release of tissue factor from damaged tissue - (ANSWER)Extrinsic pathway
Current survivial rate of patients put on ECMO for cardiac reasons? - (ANSWER)23 - 71%
What are some contraindications to ECMO? - (ANSWER)- End-stage, irreversible, or inoperable cardiac
disease.
- Significant neurological or end-stage renal impairment.
- Uncontrolled bleeding of major organs.
- Extremes of size or weight (relative)
- Inaccessible vessels during CPR (though femoral is usually accessible)
Placement options for venous drainage of VV-ECMO? - (ANSWER)- Femoral Vein
- R IJ (if an Avalon Cannula)
Both drain venous blood from the SVC
Placement options for return blood of VV-ECMO? - (ANSWER)- Right IJ
- Right Axillary vein
