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ECMO SPECIALIST EXAM WITH QUESTIONS AND VERIFIED ANSWERS
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ECMO SPECIALIST EXAM WITH QUESTIONSAND VERIFIED ANSWERS 2024-2025
How do I recognize cardiogenic shock? (acronym) - ANSWER CS-MODE Cardiac
rhythm: SBP < 90
Markers: cardiac
Output: oliguria.
Drips - Inotropes/Pressers
Exam: cold, clammy, respiratory discomfort.
How to Diagnose Shock (Acronym) - Answer (ECLS)
ECG
Consult the surgeon.
Lab results include lactates, bags, and other measurements.
Swan catheter
What is the PAPI score? Formula and normal value - ANSWER distinguishes
between the LV/RV dysfunction; if low, RV dysfunction
PAPi equals (sPAP-dPAP)/RA.
The pa sys - the pa dyastolic / right atrial pressure - can be obtained from Swan.
Normal is >1.0.
,The formula for cardiac power output (CPO) and normal values. - ANSWER:
CPO=MAP x CO/451
Normal = 0.7 to 1 watt.
What are the three key parameters for cardiogenic shock? - ANSWER PAPI.
CPO
Lactate
What is the heart power output? - The amount of energy available to maintain the
perfusion of the essential organs in shock.
What does lactate in the blood signify, and what is the typical value? - ANSWER
anaerobic metabolism is occurring.
The usual range is 0.9 to 1.7.
What are the two main purposes of mechanical circulatory support? - ANSWER:
restore appropriate end-organ perfusion.
Ventricular unloading
How does the Impella CP operate as an LV vent? - ANSWER drains from the LV
and returns to the aortic arch.
delivers flow rates of 3-3.5 LPM.
, What are the five elements that influence pharmacokinetics during critical illness? -
ANSWER 1. increased cardiac output.
2. leaking capillaries.
3. Volume resuscitation.
4. End-organ perfusion.
5. altered protein binding.
What is pharmacodynamics? - Answer the body's biochemical ANSWER to the
medication.
What are the five elements that influence pharmacokinetics during ECMO? -
ANSWER 1. increased cardiac output.
2. leaking capillaries.
3. End-organ perfusion.
4. Hemodilution
5. Drug sequestration.
Which medicines should you avoid when using ecmo? - ANSWER, benzos!!!
Lipophilic and sequestered in the tube.
Why do we require anticoagulation with ecmo? - ANSWER Blood reaches the
ecmo circuit, creating a sirs ANSWER, which leads to:
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