AUGUST 2017 Sub. Code: 1423
B.Sc. CARDIO PULMONARY PERFUSION CARE TECHNOLOGY
THIRD YEAR
PAPER III CARDIO PULMONARY BYPASS AND ITS COMPLICATIONS
STERILE TECHNIQUES AND SURGICAL ASEPSIS MAINTENANCE
Q.P. Code: 801423
Time: Three Hours Maximum: 100 Marks
Answer all questions
I. Elaborate on: x 10 30)
1. Explain briefly on the following special investigations Echocardiography
Angiography Liver function test Renal function test.
2. Write in detail on rate of Rewarming and cooling in Cardiopulmonary bypass
and explain grades of hypothermia and safety margin of how flows can vary
with temperature. Prepare a flow chart according to the temperature.
3. Elaborate on the complications while initiating and at the termination of bypass.
II. Write notes on: x 5 40)
1. Causes of poor venous return, its management and remedy.
2. Management of air in the arterial line of the circuit.
3. Brief about the periodic maintenance of the Hemotherm.
4. How will you manage renal failure patient on cardiopulmonary bypass?
Mention about Conventional ultra filtration.
5. What are the Essential parameters monitored on cardiopulmonary bypass and
state some safety devices in extracorporeal circuit?
6. Write short notes on Alternatives of Heparin.
7. Explain about Skin preparation for Cardiac surgery.
8. Define Surgical Asepsis and advocate its importance in Cardiac surgery.
III. Short answers on: (10 x 3 30)
1. What is Hand crank and when it is used?
2. Write short notes on importance of Potassium value during Cardiopulmonary
bypass.
3. How will you treat Massive air embolism?
4. Mention about the indication and importance of Blood priming during
cardiopulmonary Bypass.
5. Write short notes on Endocrine assays for Cardiopulmonary Bypass.
6. What is the importance of Level sensor in the cardiopulmonary circuit and
write its working principle?
7. State the importance of Arterial Filter in the CPB circuit and also mention its
pore size.
8. How can you prevent Hematuria on Bypass?
9. What is Alpha stat and pH stat?
10. Retrograde cerebral perfusion