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ECMO Specialist Exam with complete solutions 2024_2025.
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ECMO Specialist Exam with complete solutions 2024_2025.
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ECMO Specialist Exam with completesolutions 2024/2025
How to recognize cardiogenic shock? (acronym) - ANSWER-CS-MODE
Cardiac Rhythm
SBP <90
Markers- cardiac
Output- oliguria
Drips - Inotropes/ pressers
Exam - cool, clammy, resp distress
How to diagnose shock ( acronym) - ANSWER-(ECLS )
ECG
Consult- surgeon
Labs- lactates, abgs etc.
Swan catheter
what is PAPI score? Formula and normal value - ANSWER-differentiates between
the LV/RV disfunction, if low = RV dysfunction
PAPi= (sPAP-dPAP)/RA
it is the pa sys - the pa dyastolic / right atrial pressure- can get these numbers
from swan
normal is >1.0
Formula for cardiac power output (CPO) and normal value - ANSWER-CPO= MAP
x CO/451
, normal = 0.7 to 1 W
what are the three key measurements for cardiogenic shock? - ANSWER-PAPI
CPO
Lactate
what is cardiac power output? - ANSWER-amount of energy available to maintain
the perfusion of the vital organs in shock
what does lactate in the blood mean and normal value? - ANSWER-anerobic
metabolism is occurring
normal is 0.9 to 1.7
what are the two goals of mechanical circulatory support? - ANSWER-restore
adequate end organ perfusion
ventricular unloading
how does the impella CP work as an LV vent? - ANSWER-drains at LV and returns
at the aortic arch
provides 3-3.5 LPM of flow
what are the 5 factors affecting pharmacokinetics with critical illness? - ANSWER-
1. augmented cardiac output
2. leaky capillaries
3. volume resusitation
4. end-organ perfusion
5. altered protein binding
what is pharmacodynamics? - ANSWER-the bodys biological response to the
drug
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