ECMO Procedure Note

國立臺灣大學醫學院附設醫院
National Taiwan University Hospital
病歷號：
姓
名：
生
日：西元
體外循環維生系統裝置後照護計畫單
年
月
日
Post-ECMO Therapeutic Plan (Pediatric)
Heparin
□ No heparin
□ Check ACT Q8h
□ Heparin _____unit in ___ c.c , keep ACT _____ ~ _____ sec
□ ECMO Biotrend monitor SaO2 and SvO2 calibration by ABG, VBG qd
□ Check CBC, PT/PTT, Fibrinogen QD and stat, check D-Dimer, LDH, Haptoglobin stat than
QW1, QW4
□ Lower extremities Doppler check q8h, if femoral V-A ECMO
□ If the patient has urine, and urine color q8h by 目視
□ Check Free Hb QD by NP or technician
□ If heart patient: check CK, CK-MB, Troponn-I, GOT, Bil, BUN, Cre qd× 3 days, then W1, W4
□ If lung patient: check CK, GOT, Bil, BUN, Cre qd× 3days, then W1, W4
□ Pulse oximeter on the right hand if femoral VA-ECMO
□ Keep Hct 30 ~ 35%
□ Platelet transfusion, if Plt ≤ 50K/L
□ For Acute myocarditis : IVIG 2gm/Kg infusion for 48hr
□ CXR QD, and check position of cannula
□ 照 Chest X-ray 請將不必要的管路移開
□ Check Tidal volume QD
計劃擬定者：___________________________
計劃擬定時間：_______年_______月_______日______時_____分

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