ECMO Exam with Correct Answers 100% Solved
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Terms in this set (191)
______= the # of seconds it ACT
takes for a clot to form
________ acts as your sole O2 tank
resource for oxygen
during transport
-Excellent support of the heart and lungs
-Usually only one surgical site
Advantages of VA ECMO -Excellent oxygenation at low flows
-Not dependent on intrinsic cardiac function
-Quick improvement of oxygenation
-Avoids cannulation and ligation of the carotid
arteries
-Decrease cannulation time with single site, double
lumen
-Hyperoxygenated blood enters the PA and thus may
help decrease the PAP and decrease ECMO run time
Advantages of VV ECMO:
-Decrease risk of neurological injury
-Decrease risk of emoli injury in the systemic
circulation
-Decrease risk of ischemic lung injury
-Possible percutaneous cannulation (quicker
cannulation and no vessel ligation)
, After ECMO cannulation, 240
delay starting heparin drip
until ACT is < ______
ALWAYS give blood -PRBCs (pre-oxygenator)
products (PRBCs, FFP, -FFP, Cryo, Platelets (post-oxygenator)
Platelets, and Cryo) to the
pt. If that's not a possiblity,
give _______ pre-oxygenator
and ________ post-
oxygenator
Antithrombin goal on 70-80%
ECMO = _________
ATIII activity often Heparin
decreases over time in
children on ECMO, which
reduces the efficacy of
_________
Better Bladder -Neonatal (1/4 inch diameter tubing; < 16kg)
Bigger Better Bladder - Pediatric (3/8 inch diameter tubing; >16 kg)
Blended oxygen of _____% 60%
should be used while
idling
Bonds with heparin to Antithrombin (AT)
slowly inactivate thrombin
in turn preventing further
anticoagulation
A ______ causes a difference PDA
in pre/post saturation
__________ deactivates Heparin
Vancomycin
Save
Terms in this set (191)
______= the # of seconds it ACT
takes for a clot to form
________ acts as your sole O2 tank
resource for oxygen
during transport
-Excellent support of the heart and lungs
-Usually only one surgical site
Advantages of VA ECMO -Excellent oxygenation at low flows
-Not dependent on intrinsic cardiac function
-Quick improvement of oxygenation
-Avoids cannulation and ligation of the carotid
arteries
-Decrease cannulation time with single site, double
lumen
-Hyperoxygenated blood enters the PA and thus may
help decrease the PAP and decrease ECMO run time
Advantages of VV ECMO:
-Decrease risk of neurological injury
-Decrease risk of emoli injury in the systemic
circulation
-Decrease risk of ischemic lung injury
-Possible percutaneous cannulation (quicker
cannulation and no vessel ligation)
, After ECMO cannulation, 240
delay starting heparin drip
until ACT is < ______
ALWAYS give blood -PRBCs (pre-oxygenator)
products (PRBCs, FFP, -FFP, Cryo, Platelets (post-oxygenator)
Platelets, and Cryo) to the
pt. If that's not a possiblity,
give _______ pre-oxygenator
and ________ post-
oxygenator
Antithrombin goal on 70-80%
ECMO = _________
ATIII activity often Heparin
decreases over time in
children on ECMO, which
reduces the efficacy of
_________
Better Bladder -Neonatal (1/4 inch diameter tubing; < 16kg)
Bigger Better Bladder - Pediatric (3/8 inch diameter tubing; >16 kg)
Blended oxygen of _____% 60%
should be used while
idling
Bonds with heparin to Antithrombin (AT)
slowly inactivate thrombin
in turn preventing further
anticoagulation
A ______ causes a difference PDA
in pre/post saturation
__________ deactivates Heparin
Vancomycin