ECMO Specialist Exam
Study online at https://quizlet.com/_j3ykrj
CS-MODE
Cardiac Rhythm
SBP <90
How to recognize cardiogenic shock? (acronym) Markers- cardiac
Output- oliguria
Drips - Inotropes/ pressers
Exam - cool, clammy, resp distress
(ECLS )
ECG
How to diagnose shock ( acronym) Consult- surgeon
Labs- lactates, abgs etc.
Swan catheter
differentiates between the LV/RV disfunction, if low = RV
dysfunction
what is PAPI score? Formula and normal value 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
CPO= MAP x CO/451
Formula for cardiac power output (CPO) and normal value
normal = 0.7 to 1 W
PAPI
what are the three key measurements for cardiogenic
CPO
shock?
Lactate
amount of energy available to maintain the perfusion of
what is cardiac power output?
the vital organs in shock
anerobic metabolism is occurring
what does lactate in the blood mean and normal value?
normal is 0.9 to 1.7
what are the two goals of mechanical circulatory support?
, ECMO Specialist Exam
Study online at https://quizlet.com/_j3ykrj
restore adequate end organ perfusion
ventricular unloading
drains at LV and returns at the aortic arch
how does the impella CP work as an LV vent?
provides 3-3.5 LPM of flow
1. augmented cardiac output
2. leaky capillaries
what are the 5 factors affecting pharmacokinetics with
3. volume resusitation
critical illness?
4. end-organ perfusion
5. altered protein binding
what is pharmacodynamics? the bodys biological response to the drug
1. augmented cardiac output
2. leaky capillaries
what are the factors 5 affecting pharmacokinetics with
3. end-organ perfusion
ECMO?
4. hemodilution
5. drug sequestration
which drugs should you avoid with ecmo? benzos!!! lipophillic and sequester in the tubing
blood contacts the ecmo circuit causing a sirs response
and leads to:
why do we need anticoagulation on ecmo? inflammation/vasodilation
coagulation
altered fibrinolysis
Activates antithrombin III -> inactivates thrombin, factor
how does heparin work?
IXa, & factor Xa.
1. Mild- pf ratio is 200-300 mmhg w/peep or CPAP > 5
what are the 3 definitions of ards and how are they de- 2. moderate - pf ratio is 100 - 200 mmhg w/ peep or CPAP
fined? >5
3. severe- pf ratio is <100 mmhg with peep > 5
what are the 3 consequences of lung injury with ards?
Study online at https://quizlet.com/_j3ykrj
CS-MODE
Cardiac Rhythm
SBP <90
How to recognize cardiogenic shock? (acronym) Markers- cardiac
Output- oliguria
Drips - Inotropes/ pressers
Exam - cool, clammy, resp distress
(ECLS )
ECG
How to diagnose shock ( acronym) Consult- surgeon
Labs- lactates, abgs etc.
Swan catheter
differentiates between the LV/RV disfunction, if low = RV
dysfunction
what is PAPI score? Formula and normal value 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
CPO= MAP x CO/451
Formula for cardiac power output (CPO) and normal value
normal = 0.7 to 1 W
PAPI
what are the three key measurements for cardiogenic
CPO
shock?
Lactate
amount of energy available to maintain the perfusion of
what is cardiac power output?
the vital organs in shock
anerobic metabolism is occurring
what does lactate in the blood mean and normal value?
normal is 0.9 to 1.7
what are the two goals of mechanical circulatory support?
, ECMO Specialist Exam
Study online at https://quizlet.com/_j3ykrj
restore adequate end organ perfusion
ventricular unloading
drains at LV and returns at the aortic arch
how does the impella CP work as an LV vent?
provides 3-3.5 LPM of flow
1. augmented cardiac output
2. leaky capillaries
what are the 5 factors affecting pharmacokinetics with
3. volume resusitation
critical illness?
4. end-organ perfusion
5. altered protein binding
what is pharmacodynamics? the bodys biological response to the drug
1. augmented cardiac output
2. leaky capillaries
what are the factors 5 affecting pharmacokinetics with
3. end-organ perfusion
ECMO?
4. hemodilution
5. drug sequestration
which drugs should you avoid with ecmo? benzos!!! lipophillic and sequester in the tubing
blood contacts the ecmo circuit causing a sirs response
and leads to:
why do we need anticoagulation on ecmo? inflammation/vasodilation
coagulation
altered fibrinolysis
Activates antithrombin III -> inactivates thrombin, factor
how does heparin work?
IXa, & factor Xa.
1. Mild- pf ratio is 200-300 mmhg w/peep or CPAP > 5
what are the 3 definitions of ards and how are they de- 2. moderate - pf ratio is 100 - 200 mmhg w/ peep or CPAP
fined? >5
3. severe- pf ratio is <100 mmhg with peep > 5
what are the 3 consequences of lung injury with ards?
