Exam (elaborations)
ECMO SPECIALIST EXAM WITH QUESTIONS AND VERIFIED ANSWERS
- Course
- Institution
ECMO SPECIALIST EXAM WITH QUESTIONS AND VERIFIED ANSWERS ...
[Show more]
Content preview
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:
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Mirror. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75323 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now