FEBRUARY 2018 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. Elaborate on the complications while initiating and during cardiopulmonary
bypass.
2. Write briefly on surgical asepsis in assembling cardiopulmonary bypass circuits
and handling circuits from the surgeon.
3. Explain in detail about the routine investigation done for cardiac surgery and
their importance to the perfusionist.
II. Write notes on: x 5 40)
1. What is Heparin induced thrombocytopenia and its management?
2. What is Stone heart, what are the causes and remedy?
3. Explain about the common strategies to be taken for sickle cell anemia patients
undergoing cardiopulmonary bypass.
4. Explain about the cleaning protocol for Hemotherm and brief about the periodic
maintenance of the heart lung machine.
5. How will you wean off from cardiopulmonary bypass, mention all parameters?
6. Write a note on the Temperature management in Cardiopulmonary bypass.
7. What are the causes for hematuriaon bypass and its management?
8. Write short notes on prebypass checklist and its importance.
III. Short answers on: (10 x 3 30)
1. What is the importance of Chest X-ray for cardiopulmonary bypass?
2. Write the formula for calculating patient body surface area, blood volume and
circulating blood volume.
3. What are the causes of poor venous return and management strategies?
4. Action of chlorhexidine in skin preparation.
5. Explain the role of Gas filter in a bypass circuit.
6. What is Total circulatory arrest and its indications and techniques?
7. Write about the significance of Lactate in cardiopulmonary bypass.
8. Application of leukocytes depleting filters and uses.
9. Write note on loss of electrical power during cardiopulmonary bypass and its
Management.
10. How will you clean the Heart Lung Machine after the biohazard procedure?