ECMO Exam – Questions With Comprehensive
Solutions
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Terms in this set (103)
- Hemoglobin
What are 3 factors that
- Cardiac Output / ECMO flow
affect oxygen delivery?
- Oxygen saturation
Key term for VA-ECMO? Partial bypass
Key term for VV-ECMO? Partial capture
On which type of ECMO do VV-ECMO
you run a full code (with
compression)?
Which ECMO requires full VA-ECMO
drugs per ACLS but no
compressions in a code?
mL in an ECMO circuit? 800mL
mL in an ECMO circuit + 1100mL
CVVHD?
In which type of ECMO is VA-ECMO
SvO2 utilized?
- Clamp
What are the "3 C's" in an - Call for help
ECMO emergency? - Compensate for losses in support with drugs and
other measures
What is the default Heparin
anticoagulant used in
ECLS?
What are the actions of - Accelerates the action of endogenous antithrombin.
heparin? - Inhibits thrombin and factor Xa
, What is the normal dose of 50 - 100 units / kg
heparin given at the time of
ECMO cannulation?
What blood product is FFP
indicated for patients who
are heparin resistant 2/2
diminshed antithrombin
levels?
What is the standard goal 50 - 75
aPTT for ECMO patients
being heparinized?
Clotting that occurs when Intrinsic pathway
blood comes into contact
with a non-endothelial
surface
Clotting that occurs by the Extrinsic pathway
release of tissue factor
from damaged tissue
Current survivial rate of 23 - 71%
patients put on ECMO for
cardiac reasons?
- End-stage, irreversible, or inoperable cardiac disease.
- Significant neurological or end-stage renal
What are some impairment.
contraindications to - Uncontrolled bleeding of major organs.
ECMO? - Extremes of size or weight (relative)
- Inaccessible vessels during CPR (though femoral is
usually accessible)
- Femoral Vein
Placement options for
- R IJ (if an Avalon Cannula)
venous drainage of VV-
ECMO?
Both drain venous blood from the SVC
- Right IJ
- Right Axillary vein
Placement options for - Right Subclavian vein
return blood of VV-ECMO?
All terminate in the RA with the outflow directed at the
Tricuspid valve.
Solutions
Save
Terms in this set (103)
- Hemoglobin
What are 3 factors that
- Cardiac Output / ECMO flow
affect oxygen delivery?
- Oxygen saturation
Key term for VA-ECMO? Partial bypass
Key term for VV-ECMO? Partial capture
On which type of ECMO do VV-ECMO
you run a full code (with
compression)?
Which ECMO requires full VA-ECMO
drugs per ACLS but no
compressions in a code?
mL in an ECMO circuit? 800mL
mL in an ECMO circuit + 1100mL
CVVHD?
In which type of ECMO is VA-ECMO
SvO2 utilized?
- Clamp
What are the "3 C's" in an - Call for help
ECMO emergency? - Compensate for losses in support with drugs and
other measures
What is the default Heparin
anticoagulant used in
ECLS?
What are the actions of - Accelerates the action of endogenous antithrombin.
heparin? - Inhibits thrombin and factor Xa
, What is the normal dose of 50 - 100 units / kg
heparin given at the time of
ECMO cannulation?
What blood product is FFP
indicated for patients who
are heparin resistant 2/2
diminshed antithrombin
levels?
What is the standard goal 50 - 75
aPTT for ECMO patients
being heparinized?
Clotting that occurs when Intrinsic pathway
blood comes into contact
with a non-endothelial
surface
Clotting that occurs by the Extrinsic pathway
release of tissue factor
from damaged tissue
Current survivial rate of 23 - 71%
patients put on ECMO for
cardiac reasons?
- End-stage, irreversible, or inoperable cardiac disease.
- Significant neurological or end-stage renal
What are some impairment.
contraindications to - Uncontrolled bleeding of major organs.
ECMO? - Extremes of size or weight (relative)
- Inaccessible vessels during CPR (though femoral is
usually accessible)
- Femoral Vein
Placement options for
- R IJ (if an Avalon Cannula)
venous drainage of VV-
ECMO?
Both drain venous blood from the SVC
- Right IJ
- Right Axillary vein
Placement options for - Right Subclavian vein
return blood of VV-ECMO?
All terminate in the RA with the outflow directed at the
Tricuspid valve.
