ECMO ECMO Pharmacology and Drug Management 2

Question 1

Nitric oxide (NO) can be administered to ECMO patients by delivering it through which component of the circuit?

Accepted Answer

The sweep gas inlet of the oxygenator

Answer

The venous drainage cannula

Answer

The arterial return cannula

Answer

The hemofilter port

Question 2

A major concern with high-dose propofol infusions in ECMO patients is development of:

Accepted Answer

Propofol infusion syndrome (PRIS)

Answer

Hepatic encephalopathy

Answer

Adrenal insufficiency

Answer

Neuroleptic malignant syndrome

Question 3

Succinylcholine use in critically ill ECMO patients carries a risk of life-threatening:

Accepted Answer

Hyperkalemia-induced cardiac arrest

Answer

Malignant hyperthermia

Answer

Prolonged paralysis due to circuit sequestration

Answer

Bronchospasm

Question 4

Which neuromuscular blocking agent is preferred for paralysis in VV-ECMO patients with severe ARDS?

Accepted Answer

Cisatracurium

Answer

Succinylcholine

Answer

Pancuronium

Answer

Rocuronium

Question 5

What is the standard ICU blood glucose target for ECMO patients receiving insulin infusion therapy?

Accepted Answer

140–180 mg/dL

Answer

60–100 mg/dL

Answer

100–140 mg/dL

Answer

180–220 mg/dL

Question 6

Loop diuretics such as furosemide are used in ECMO patients primarily to:

Accepted Answer

Reduce fluid overload and improve oxygenation

Answer

Prevent circuit thrombosis

Answer

Increase cardiac output

Answer

Correct metabolic alkalosis