IEC ECMO Test – Questions With Correct Solutions
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Terms in this set (86)
What is the normal SVO2 in 60-80% 3 multiple choice options
a healthy adult?
True or False? Chest True 1 multiple choice option
compressions are
warranted during cardiac
arrest on a VV ECMO
patient.
Your VA ECMO patient No 1 multiple choice option
goes into cardiac arrest,
showing asystole on the
monitor. Do chest
compressions need to be
done?
When would it be Electrical failure and/or mechanical failure
appropriate to hand crank
or switch to a back up 3 multiple choice options
drive?
The ECMO heater is set at Check the heater water level and line patency
38 degrees. The arterial
blood temperature is
reading 35.5 and the
3 multiple choice options
patient is shivering. What
are the first two things you
should do?
,You have a 30 year old Cooling/hypothermia protocol
woman on VA ECMO with
severe sepsis. Over the
course of a shift she has
had to go from 12 LPM of
sweep to 15 LPM. Despite
being adequately sedated
and paralyzed her ABGs
continue to worsen. The
circuit and oxygenator are
working correctly as well.
What else can we do to
reduce her metabolic
demand?
Of these four choices, R femoral drain/R internal jugular return
which VV cannulation
strategy has the least
incidence of re-circulation 3 multiple choice options
and allows the highest
flows?
In which of these patients A 22 year old male with severe bilateral pulmonary
are rest ventilator settings contusions on day 3 of VV ECMO
warranted? 3 multiple choice options
Current ARDSnet pPlat < 30, Vt = 6 mL/kg of ideal body weight
guidelines are which of the
3 multiple choice options
following?
You have a patient in Increase PEEP, I-time, and pressure control
pressure control ventilation.
Which 3 things will increase 3 multiple choice options
mean airway pressure?
As mean airway pressure Decrease 3 multiple choice options
increases, preload is more
likely to do what?
, You have a 15 year old boy Increase set RR to 18 to make up for the 2 LPM of sweep
on VV ECMO. Blood flow is we are about to lose (2 LPM = RR of 4 x 500 mL tidal
3.2 LPM, sweep is 2.0 LPM, volume)
and 40% FdO2. The vent is
set on volume control with
a rate of 14, tidal volume of
500 mL, PEEP of 12, and
FiO2 of 40%. The patient
has been sedated and is
breathing 14 times a minute.
His last ABG was 7.40,
PCO2 of 40, and PaO2 of
90. We want to trial him off
ECMO for the first time.
What vent change should
you probably make and
why?
Which VA cannulation Sternotomy with RA drain and aortic return
strategy facilitates the
3 multiple choice options
highest flows?
What is number 14 referring to?
Left pulmonary artery
What is number 16 referring to?
Left pulmonary veins
Save
Terms in this set (86)
What is the normal SVO2 in 60-80% 3 multiple choice options
a healthy adult?
True or False? Chest True 1 multiple choice option
compressions are
warranted during cardiac
arrest on a VV ECMO
patient.
Your VA ECMO patient No 1 multiple choice option
goes into cardiac arrest,
showing asystole on the
monitor. Do chest
compressions need to be
done?
When would it be Electrical failure and/or mechanical failure
appropriate to hand crank
or switch to a back up 3 multiple choice options
drive?
The ECMO heater is set at Check the heater water level and line patency
38 degrees. The arterial
blood temperature is
reading 35.5 and the
3 multiple choice options
patient is shivering. What
are the first two things you
should do?
,You have a 30 year old Cooling/hypothermia protocol
woman on VA ECMO with
severe sepsis. Over the
course of a shift she has
had to go from 12 LPM of
sweep to 15 LPM. Despite
being adequately sedated
and paralyzed her ABGs
continue to worsen. The
circuit and oxygenator are
working correctly as well.
What else can we do to
reduce her metabolic
demand?
Of these four choices, R femoral drain/R internal jugular return
which VV cannulation
strategy has the least
incidence of re-circulation 3 multiple choice options
and allows the highest
flows?
In which of these patients A 22 year old male with severe bilateral pulmonary
are rest ventilator settings contusions on day 3 of VV ECMO
warranted? 3 multiple choice options
Current ARDSnet pPlat < 30, Vt = 6 mL/kg of ideal body weight
guidelines are which of the
3 multiple choice options
following?
You have a patient in Increase PEEP, I-time, and pressure control
pressure control ventilation.
Which 3 things will increase 3 multiple choice options
mean airway pressure?
As mean airway pressure Decrease 3 multiple choice options
increases, preload is more
likely to do what?
, You have a 15 year old boy Increase set RR to 18 to make up for the 2 LPM of sweep
on VV ECMO. Blood flow is we are about to lose (2 LPM = RR of 4 x 500 mL tidal
3.2 LPM, sweep is 2.0 LPM, volume)
and 40% FdO2. The vent is
set on volume control with
a rate of 14, tidal volume of
500 mL, PEEP of 12, and
FiO2 of 40%. The patient
has been sedated and is
breathing 14 times a minute.
His last ABG was 7.40,
PCO2 of 40, and PaO2 of
90. We want to trial him off
ECMO for the first time.
What vent change should
you probably make and
why?
Which VA cannulation Sternotomy with RA drain and aortic return
strategy facilitates the
3 multiple choice options
highest flows?
What is number 14 referring to?
Left pulmonary artery
What is number 16 referring to?
Left pulmonary veins
