ECMO SPECIALIST EXAM 101 QUESTIONS
WITH COMPLETE SOLUTIONS
Terms in this set (101) Questions Verified Answers
1. How to recognize cardiogenic shock? (acronym) CS-MODE
Cardiac Rhythm
SBP <90
Markers- cardiac
Output- oliguria
Drips - Inotropes/ pressers
Exam - cool, clammy, resp
distress
2. How to diagnose shock ( acronym) (ECLS )
ECG
Consult- surgeon
Labs- lactates, abgs etc.
Swan catheter
3. 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
4. Formula for cardiac power output (CPO) and CPO= MAP x CO/451
normal value
normal = 0.7 to 1 W
5. what are the three key measurements for PAPI
cardiogenic shock? CPO
Lactate
6. what is cardiac power output? amount of energy available
to maintain the perfusion of
the vital organs in shock
7. what does lactate in the blood mean and normal anerobic metabolism is
value? occurring
normal is 0.9 to 1.7
8. what are the two goals of mechanical circulatory restore adequate end organ
support? perfusion
, ventricular unloading
9. 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
10. what are the 5 factors affecting pharmacokinetics 1. augmented cardiac output
with critical illness? 2. leaky capillaries
3. volume resusitation
4. end-organ perfusion
5. altered protein binding
11. what is pharmacodynamics? the bodys biological response
to the drug
12. what are the factors 5 affecting pharmacokinetics 1. augmented cardiac output
with ECMO? 2. leaky capillaries
3. end-organ perfusion
4. hemodilution
5. drug sequestration
13. which drugs should you avoid with ecmo? benzos!!! lipophillic and
sequester in the tubing
14. why do we need anticoagulation on ecmo? blood contacts the ecmo
circuit causing a sirs
response and leads to:
WITH COMPLETE SOLUTIONS
Terms in this set (101) Questions Verified Answers
1. How to recognize cardiogenic shock? (acronym) CS-MODE
Cardiac Rhythm
SBP <90
Markers- cardiac
Output- oliguria
Drips - Inotropes/ pressers
Exam - cool, clammy, resp
distress
2. How to diagnose shock ( acronym) (ECLS )
ECG
Consult- surgeon
Labs- lactates, abgs etc.
Swan catheter
3. 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
4. Formula for cardiac power output (CPO) and CPO= MAP x CO/451
normal value
normal = 0.7 to 1 W
5. what are the three key measurements for PAPI
cardiogenic shock? CPO
Lactate
6. what is cardiac power output? amount of energy available
to maintain the perfusion of
the vital organs in shock
7. what does lactate in the blood mean and normal anerobic metabolism is
value? occurring
normal is 0.9 to 1.7
8. what are the two goals of mechanical circulatory restore adequate end organ
support? perfusion
, ventricular unloading
9. 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
10. what are the 5 factors affecting pharmacokinetics 1. augmented cardiac output
with critical illness? 2. leaky capillaries
3. volume resusitation
4. end-organ perfusion
5. altered protein binding
11. what is pharmacodynamics? the bodys biological response
to the drug
12. what are the factors 5 affecting pharmacokinetics 1. augmented cardiac output
with ECMO? 2. leaky capillaries
3. end-organ perfusion
4. hemodilution
5. drug sequestration
13. which drugs should you avoid with ecmo? benzos!!! lipophillic and
sequester in the tubing
14. why do we need anticoagulation on ecmo? blood contacts the ecmo
circuit causing a sirs
response and leads to:
