Exam 50: Extracorporeal Life Support Ecls

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Which of the following situations could cause an excessive negative pressure on the right atrium during ECMO? 1) Hypovolemia 2) Insufficient height of the patient 3) A kink in the cannula or circuit tubing 4) Hypervolemia

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B

Which of the following are common indications for ECMO? 1) Persistent pulmonary hypertension of the newborn (PPHN) 2) Respiratory distress syndrome (RDS) 3) Meconium aspiration syndrome (MAS) 4) Congenital diaphragmatic hernia (CDH)

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B

How is blood flow regulated during ECMO?

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A

Why is anticoagulation required during ECMO?

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ECMO is typically only considered in conditions when conventional support: 1) has not been successful in delivering oxygen (O2). 2) is unable to effectively remove CO2. 3) cannot provide adequate cardiac function. 4) has been in use for more than 4 days.

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Which of the following is the typical ratio of sweep flow to pump flow?

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During VV ECMO, where are cannulas typically placed? 1) Right internal jugular vein 2) Left femoral vein 3) Right atrium 4) Femoral artery

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What is a major advantage of ECMO?

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Which of the following are considered types of EMCO? 1) VV 2) AV 3) VA

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Which of the following are inclusion criteria for neonatal ECMO? 1) Reversible lung disease 2) Gestational age less than 35 weeks 3) Pulmonary barotrauma 4) Persistent acidosis

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Guidelines for training an ECMO specialist include which of the following? 1) RT must have a bachelor's degree. 2) ECMO equipment training. 3) Physiology of the diseases supported with ECMO. 4) Physiology of coagulation.

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During ECMO what is the primary test for anticoagulation measurement at the bedside?

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Venoarterial is the preferred method for use of ECMO when cardiovascular support is not required.

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What is the major difference between weaning a patient off of VA ECMO and VV ECMO?

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What can cause a decrease in pump flow?

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Which of the following are absolute contraindications for the use of ECMO? 1) Lethal congenital anomalies 2) Grade III or higher intracranial hemorrhage 3) Mechanical ventilation with 100% O2 for greater than 13 days 4) Gestational age less than 34 weeks

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How can the RT monitor for clots in the oxygenator?

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Your patient is receiving ECMO and requires frequent medications. IV access is limited. The physician asks for your recommendations on ways to improve the ease of medication delivery. What would you suggest?

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How is the ECMO system powered?

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Place the following statement in the correct order as they happen during normal physiology. 1) O2 and carbon dioxide are exchanged. 2) Blood is pumped from the right side of the heart to the lungs. 3) The heart pumps oxygenated blood to the major organs and tissues. 4) Blood is returned to the left side of the heart.

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