ECMO JEOPARDY

Tubes Galore

100

This cannula takes blood from the body to the pump

Venous cannula

200

This cannula delivers blood back to body

Arterial cannula

300

This cannula is on the leg in a femoral cannula

Reperfusion cannula

400

This cannula is used to decompress the left side of the heart during ECMO

LA vent

500

This is when your platelets and clotting factors keep dropping

Circuit DIC (consider changing circuit)

TO VV or to VA? That is the Question

100

This form provides only respiratory support

VV ECMO

200

This form does not require you to have a pulse

VA ECMO

300

This is how you trial off VV ECMO

You disconnect the gas

400

This is what you do with your anticoagulation on during a VA ECMO trial off

Split the anticoagulation between the circuit and the patient

500

True or False: you will always have normal sats on VV ECMO

False: will have mixing (sat goals often 80-95%)

You Had One Nursing Job

100

Go here for the initiation checklist

Charge nurse desk

200

We keep the FiO2 >40% to make sure these get enough O2

Coronaries

300

Name a contraindication to ECMO

Under 34 weeks gestation

Under 2 kg

Pre-existing, severe, chronic lung disease

Severe congenital anomalies and/or medical conditions associated with limited near-term survival

Recent intra-cranial bleeding or a bleeding disorder

400

These should be taped to the ventilator and in your orders

Emergency vent settings

500

True or False: you may need higher doses of certain medications when on ECMO

True

Pump Up The Jam

100

This is where the gas exchange happens on the pump

Oxygenator

200

This is adjusted to change your CO2 levels

Sweep

300

This is adjusted to increase speed/cardiac output

RPMs

400

Because of this part of the pump, you have to draw blood cultures every other day

Heater

500

This is trended on the ECMO pump to measure cardiac output, oxygen delivery, and oxygen consumption

SVO2