IEC ECMO Test Cards
Study online at https://quizlet.com/_d10p82
What is the normal SVO2 in a healthy adult? 60-80%
True or False? Chest compressions are warranted during
True
cardiac arrest on a VV ECMO patient.
Your VA ECMO patient goes into cardiac arrest, showing
asystole on the monitor. Do chest compressions need to No
be done?
When would it be appropriate to hand crank or switch to
Electrical failure and/or mechanical failure
a back up drive?
The ECMO heater is set at 38 degrees. The arterial blood
temperature is reading 35.5 and the patient is shivering. Check the heater water level and line patency
What are the first two things you should do?
You have a 30 year old woman on VA ECMO with severe
sepsis. Over the course of a shift she has had to go from
12 LPM of sweep to 15 LPM. Despite being adequately
Cooling/hypothermia protocol
sedated and paralyzed her ABGs continue to worsen. The
circuit and oxygenator are working correctly as well. What
else can we do to reduce her metabolic demand?
Of these four choices, which VV cannulation strategy has
the least incidence of re-circulation and allows the highest R femoral drain/R internal jugular return
flows?
In which of these patients are rest ventilator settings war- A 22 year old male with severe bilateral pulmonary contu-
ranted? sions on day 3 of VV ECMO
Current ARDSnet guidelines are which of the following? pPlat < 30, Vt = 6 mL/kg of ideal body weight
You have a patient in pressure control ventilation. Which
Increase PEEP, I-time, and pressure control
3 things will increase mean airway pressure?
As mean airway pressure increases, preload is more likely
Decrease
to do what?
, IEC ECMO Test Cards
Study online at https://quizlet.com/_d10p82
You have a 15 year old boy on VV ECMO. Blood flow is 3.2
LPM, sweep is 2.0 LPM, and 40% FdO2. The vent is set
on volume control with a rate of 14, tidal volume of 500
Increase set RR to 18 to make up for the 2 LPM of sweep
mL, PEEP of 12, and FiO2 of 40%. The patient has been
we are about to lose (2 LPM = RR of 4 x 500 mL tidal
sedated and is breathing 14 times a minute. His last ABG
volume)
was 7.40, PCO2 of 40, and PaO2 of 90. We want to trial
him off ECMO for the first time. What vent change should
you probably make and why?
Which VA cannulation strategy facilitates the highest
Sternotomy with RA drain and aortic return
flows?
What is number 14 referring to?
Left pulmonary artery
What is number 16 referring to?
Left pulmonary veins
The colors are backwards than what is typical. Usually veins
are blue and arteries are red. With the pulmonary arteries
we have to remember that arteries pump away from the
Why do people get pulmonary veins and pulmonary ar- heart and veins pump to the heart. Because this causes
teries mixed up on heart diagrams? (explanation card) the colors to be reversed...with the pulmonary arteries
carrying "blue" deoxygenated blood to the lungs...then
returning "red" oxygenated blood back to the heart from
the lungs through the pulmonary veins. (explanation card)
Study online at https://quizlet.com/_d10p82
What is the normal SVO2 in a healthy adult? 60-80%
True or False? Chest compressions are warranted during
True
cardiac arrest on a VV ECMO patient.
Your VA ECMO patient goes into cardiac arrest, showing
asystole on the monitor. Do chest compressions need to No
be done?
When would it be appropriate to hand crank or switch to
Electrical failure and/or mechanical failure
a back up drive?
The ECMO heater is set at 38 degrees. The arterial blood
temperature is reading 35.5 and the patient is shivering. Check the heater water level and line patency
What are the first two things you should do?
You have a 30 year old woman on VA ECMO with severe
sepsis. Over the course of a shift she has had to go from
12 LPM of sweep to 15 LPM. Despite being adequately
Cooling/hypothermia protocol
sedated and paralyzed her ABGs continue to worsen. The
circuit and oxygenator are working correctly as well. What
else can we do to reduce her metabolic demand?
Of these four choices, which VV cannulation strategy has
the least incidence of re-circulation and allows the highest R femoral drain/R internal jugular return
flows?
In which of these patients are rest ventilator settings war- A 22 year old male with severe bilateral pulmonary contu-
ranted? sions on day 3 of VV ECMO
Current ARDSnet guidelines are which of the following? pPlat < 30, Vt = 6 mL/kg of ideal body weight
You have a patient in pressure control ventilation. Which
Increase PEEP, I-time, and pressure control
3 things will increase mean airway pressure?
As mean airway pressure increases, preload is more likely
Decrease
to do what?
, IEC ECMO Test Cards
Study online at https://quizlet.com/_d10p82
You have a 15 year old boy on VV ECMO. Blood flow is 3.2
LPM, sweep is 2.0 LPM, and 40% FdO2. The vent is set
on volume control with a rate of 14, tidal volume of 500
Increase set RR to 18 to make up for the 2 LPM of sweep
mL, PEEP of 12, and FiO2 of 40%. The patient has been
we are about to lose (2 LPM = RR of 4 x 500 mL tidal
sedated and is breathing 14 times a minute. His last ABG
volume)
was 7.40, PCO2 of 40, and PaO2 of 90. We want to trial
him off ECMO for the first time. What vent change should
you probably make and why?
Which VA cannulation strategy facilitates the highest
Sternotomy with RA drain and aortic return
flows?
What is number 14 referring to?
Left pulmonary artery
What is number 16 referring to?
Left pulmonary veins
The colors are backwards than what is typical. Usually veins
are blue and arteries are red. With the pulmonary arteries
we have to remember that arteries pump away from the
Why do people get pulmonary veins and pulmonary ar- heart and veins pump to the heart. Because this causes
teries mixed up on heart diagrams? (explanation card) the colors to be reversed...with the pulmonary arteries
carrying "blue" deoxygenated blood to the lungs...then
returning "red" oxygenated blood back to the heart from
the lungs through the pulmonary veins. (explanation card)
