ECMO Flashcards

1
Q

ECMO

A

Extracorporeal Membrane Oxygenation

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2
Q

ECMO organs

A

Involves liver and kidneys

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3
Q

ECMO Circulation

A

Veinous system
Through Oxygenation system
Removing CO2
Adding O2

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4
Q

Veno-Arterial (VA)

A

Used for cardiopulmonary deficits
- Tetralogy of Fallot heart surgery

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5
Q

Veno-Venous system (VV)

A

Used for pulmonary deficits
- meconium aspiration

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6
Q

Length of time for Infant

A

3 weeks

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7
Q

Risks for patient

A

Transfusion
Infection
Clots
Bleeding
Stroke
Air Bubbles

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8
Q

Hematology

A

Helps to assess the patient’s stability via CBC reports

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9
Q

Coagulation

A

Helps to assess the patient’s stability via PT / aPTT reports

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10
Q

Chemistry

A

Helps to assess the patient’s stability via Chem7 reports

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11
Q

Blood Bank

A

Maintains adequate and accessible blood supply

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12
Q

Microbiology

A

Periodically tests ECMO machine areas that are exposed to the air to prevent infection and check for bacterial growth

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13
Q

Thromboelastographic instrument

A

aka TEG
determine blood product usage and necessity

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14
Q

Why Use ECMO

A

Major Surgery
Trauma
Birth Defects
Other

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15
Q

Length of time for Adult

A

10 days

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16
Q

Medications for while on ECMO

A

Heparin
Blood Products
Antibiotics
Electrolytes
IV/NG nutrition
Sedatives
Lasix
Paralytics
Pain Medications

17
Q

Required Testing Before ECMO

A

Head ultrasound
Chest x-ray
Blood gases
Echocardiogram
Clotting Test

18
Q

Common Diseases associated with ECMO

A

Pneumonia
Congenital Diaphragmatic Hernia (CDH)
Meconium Aspiration Syndrome (MAS)
Sepsis
Pulmonary Hypertension (PPHN/ PAH)
Inborn errors of metabolism
Severe asthma attack

19
Q

Long Term Effects

A

Developmental delays or disabilities
Mental developmental delays or disabilities
Increase risk of behavioral problems