Hypotension/Hemodynamics
What is your last vasopressor of choice in adults?
Epinephrine
What drug (in a larger than normal dose) is given to potential lung donors for veno-dilation?
Narcan
What coagulopathy labs are drawn on every donor?
PT, INR, PTT
What drip helps control DI?
Vasopressin
Which of the following is a colloid?
A. Plasmalyte
B. Lactated Ringers
C. Albumin
D. D5W
C. Albumin
What does Central Venous Pressure (CVP) measure?
Right sided preload/Fluid Status.
What is P:F ratio?
Ratio of oxygen in the blood in relation to inspired oxygen.
TRUE or FALSE: DIC can only occur in brain dead donors and can cause organ necrosis?
FALSE
DI may cause an increase in electrolytes, especially ___?
Sodium
A unit of blood should increase a donor's hematocrit by how much?
3%
What low dose vasopressor improves renal function?
Dopamine
Interpret this ABG:
pH: 7.5
pCO2: 38
pO2: 89
HCO3: 35
Metabolic Alkalosis
Coagulopathies may occur due to:
A. Hyperperfusion due to hypertension
B. Thromboplastin Release
C. Intravascular Dehydration
B. Thromboplastin Release
The lack of what hormone causes DI?
Antidiuretic Hormone (ADH)
What concentration of albumin should be given to a patient with sodium restriction?
25%
At minimum, how many hours after T4 is started should the coordinator get an ECHO?
4-6hrs
What is an ideal baseline PEEP for a donor to be set on?
8-10
The difference between DIC and dilutional blood is that the D-Dimer is normal/low/high?
High.
When a donor is in DI, the specific gravity is less than what value?
<1.010
A donor who has received multiple blood transfusions stored in sodium citrate may have ___? (electrolyte imbalance)
Hypocalcemia
Drugs affecting Beta-1 receptors work directly on the:
Drugs affecting Beta-2 receptors work directly on the:
Drugs affecting Alpha-1 receptors work directly on the:
Heart
Lungs
Arteries
DAILY DOUBLE!!!
A 5'7", 154lb. patient is on the vent with an FiO2 of 50%, a tidal volume of 550mL, and a rate of 8/min.
The ABG is
pH of 7.25
pCO2 of 65
pO2 of 100
HCO3 of 24
What vent change should be made?
Increase the vent rate or increase the tidal volume.
A donor in DIC will have an elevated/decreased fibrinogen level?
Decreased.
If DI is adequately controlled, a brain dead donor's UOP should be ____?
100-200mL/hr
What can cause an increase in your amylase but not lipase?
Increase in saliva/facial fractures/needing suctioned