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ECMO SPECIALIST EXAM LATEST UPDATE
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ECMO SPECIALIST EXAM LATEST UPDATE...
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ECMO SPECIALIST EXAM LATEST UPDATETypes of ECMO include VV, which exclusively provides lung support.
VA: Lung and Heart Support
VV ECMO, ABG
ACT -->
PaO2 -->
SpO2 -->
Lactate –->
Art Line Location?
ACT: 160-180
PaO2: 60-80 (lower PaO2 targets).
SpO2: >85%
SvO2: 60-80%
Lactate: <2.
The art line might be anyplace.
VA ECMO, ABG
ACT -->
PaO2 -->
SpO2 -->
Lactate –->
,Art Line Location?
ACT: 180-200
PaO2: 80-100
SpO2: >92%
SvO2: 60-80%
Lactate: <2.
The art line should be a right arm.
CO2 and oxygen are exchanged at...
How are CO2 and oxygen exchanged?
At the alveolar and tissue levels.
Through respiration (the exchange of blood and inspired gas in the lungs).
Oxygenator =
Pump =
Oxygenator = Regulate CO2.
Pump = Circulate Blood.
What is the best way to control CO2?
What is the best way to control oxygenation?
CO2 equals sweep.
Oxygenation equals flow.
, Tell me about Sweep.
Controls CO2 removal.
The driving factor for oxygenation
Zero sweep equals zero oxygenation.
The left half is in mL/min, whereas the right half is in LPM. Closely check CO2
clearance (particularly in a chronic CO2 retainer).
VA ECMO Sweep and FdO2 cannot be
VV ECMO Sweep can
If the sweep is less than 1, an order of <1 is required. FdO2 not less than 50%.
Sweep must ALWAYS be on with VA (pH is king; adjustments are not always
necessary). Metabolic disorders necessitate medication, not modifications in a
sweep.
Sweep can be nil, and FdO2 can reach 21%.
What is the maximum sweep on a blender allowed?
What is the maximum sweep with a flowmeter?
11 LPM with blender.
15 LPM using flowmeter.
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