Donor Management Extravaganza

Hypotension/Hemodynamics

100

What is your last vasopressor of choice in adults?

Epinephrine

200

What does Central Venous Pressure (CVP) measure?

Right sided preload/Fluid Status.

300

What low dose vasopressor improves renal function?

Dopamine

400

At minimum, how many hours after T4 is started should the coordinator get an ECHO?

4-6hrs

500

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

Lungs/Ventilator Management

100

What drug (in a larger than normal dose) is given to potential lung donors for veno-dilation?

Narcan

200

What is P:F ratio?

Ratio of oxygen in the blood in relation to inspired oxygen.

300

Interpret this ABG:
pH: 7.5
pCO2: 38
pO2: 89
HCO3: 35

Metabolic Alkalosis

400

What is an ideal baseline PEEP for a donor to be set on?

8-10

500

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. 

Coagulopathy

100

What coagulopathy labs are drawn on every donor?

PT, INR, PTT

200

TRUE or FALSE: DIC can only occur in brain dead donors and can cause organ necrosis?

FALSE

300

Coagulopathies may occur due to:

A. Hyperperfusion due to hypertension
B. Thromboplastin Release
C. Intravascular Dehydration

B. Thromboplastin Release

400

The difference between DIC and dilutional blood is that the D-Dimer is normal/low/high?

High. 

500

A donor in DIC will have an elevated/decreased fibrinogen level?

Decreased.

Diabetes Insipidus

100

What drip helps control DI?

Vasopressin

200

DI may cause an increase in electrolytes, especially ___?

Sodium

300

The lack of what hormone causes DI?

Antidiuretic Hormone (ADH)

400

When a donor is in DI, the specific gravity is less than what value?

<1.010

500

If DI is adequately controlled, a brain dead donor's UOP should be ____?

100-200mL/hr

Fluids & Labs

100

Which of the following is a colloid?

A. Plasmalyte
B. Lactated Ringers
C. Albumin
D. D5W

C. Albumin

200

A unit of blood should increase a donor's hematocrit by how much?

3%

300

What concentration of albumin should be given to a patient with sodium restriction?

25%

400

A donor who has received multiple blood transfusions stored in sodium citrate may have ___? (electrolyte imbalance)

Hypocalcemia

500

What can cause an increase in your amylase but not lipase?

Increase in saliva/facial fractures/needing suctioned