A pediatric patient who has had a metabolic acidosis, an inotropic agent, and CPR soon before undergoing ECLS is most likely to experience which of the following complications?
A. hemorrhage
B. clot formation
C. gastrointestinal complications
D. central nervous system complications
ANS: D
A. Incorrect response: See explanation D.
B. Incorrect response: See explanation D.
C. Incorrect response: See explanation D.
D. Correct response: Seizures associated with fluid and electrolyte abnormalities can be seen at the time of cannulations, and during the early hours of ECLS. Pediatric patients (1 month to 18 years of age) who have a metabolic acidosis, a bicarbonate or inotrope/vasopressor requirement, CPR, or a left ventricular assist device before initiation of ECLS are at greater risk for the development of central nervous system complications.
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