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27 Cards in this Set
- Front
- Back
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____ donation is considered life enhancing.
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Tissue
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___ donation is life saving.
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Organ
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Soft tissues, bones, and eyes are ____donations.
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tissue
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Transplantable tissues include:
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-corneas/sclera
-bone -skin -heart valves -saphenous veins -femoral veins -tendons |
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Tissue gifts must be recovered within ____ of cardiac death and refrigerated within ____.
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24 hours
8 hours |
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Restrictions are more strict for ____ donations.
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tissue
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Bone may be used for
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neck and back surgeries or hip and knee replacements
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Tendons and ligaments may be used for
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knee and shoulder repairs.
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Fascia may be used for
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bladder slings or hernia repair.
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Heart valves may be used for
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poorly functioning heart valves.
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___ can be used to replace damaged jaw cartilage.
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Sclera
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Transplantable organs include:
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-kidney
-liver -heart -lung -pancreas -intestines |
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Criteria for potential organ donors includes:
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-donor must be declared brain dead and maintained on a ventilator OR a decision must be made to withdraw ventilatory support
-donor must have intact circulation -determination for suitability is on a case by case basis |
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Nurses are required to refer patients that either ____ or meet _____ and have probable imminent death to the ORC on call.
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pass away
Clinical triggers |
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Clinical Triggers that are used as criteria for imminent death are:
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-condition is thought to be terminal and irreversible
-caused by neurological devastation -medical interventions (ventilators, pressor meds) are sustaining life. |
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Clinical Triggers are a GiVeN
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GCS =or<5
Ventilator Neuro injury |
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A potential donor is someone who has suffered an injury where ___ has occurred or is ____.
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brain death
imminent |
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Causes of injury that put a person as a potential donor include:
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-trauma (MVS, GSW, assault, falls)
-brain tumors -anoxic brain injury -CVA |
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Criteria for Brain Death are:
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-no spontaneous movements, respirations or response to noxious stimuli
-known irreversible cause of death -toxicology studies -body temp greater than 89.6F -absence of nervous system depressants |
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A clinical exam to declare brain death includes:
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-unresponsive to painful stimuli
-pupils nonreactive -absent corneal reflexes -absent response to upper and lower airway stimulation -absent ocular response (Doll and Cold Calorics) |
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During an Apnea test the ____ are normalized first. Then preoxygenate the patient. Disconnect ____ and observe for spontaneous respirations.
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gases
ventilator |
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At 5 and 10 minutes of an Apnea test draw ___.
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ABGs
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If the PCO2 > ____ or there is a ___mmHg change from initial the Apnea test is positive and the person is declared brain dead.
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60
20 |
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A patient is declared dead by neurologic criteria by a physician after ____ and _____.
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clinical exam and positive apnea test.
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Hypotension is a potential medical problem. It is treated with
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vasopressors (Dopamine and Neosynephrine)
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DI is a potential medical problem. It is treated with
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vasopressin or DDAVP
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Neurologic Pulmonary Edema is a potential medical problem. It is treated with
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high dose narcan
steroids fluid balance |
