Exam Questions And Correct Answers (Verified Answers)
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Adult brain death testing requirement include the
following: - ANSWER-
Prerequisites are meet before
testing for BD
Clinical examination to be
completed
apnea
test
Ancillary tests to be performed if clinical or apnea test cannot
be performed.
What is the ULTIMATE goal of donor management goals? -
ANSWER-Optimize
organ
function
postpone cardiopulmonary collapse of the donor
until the OR
transplant the most organs
per donor
,BD testing cannot be performed until a negative tox screen of
what substances?
- ANSWER-CNS depressants including Alcohol,
opiates and benzo's
Signs of increasing ICP's, systolic BP, bradycardia and widening
pulse pressure
represents what? - ANSWER-
Cushing's Reflex
After brain death, the body is unable to secrete
adrenocorticotropic hormones (ACTH) and maintain blood
pressure because of? - ANSWER-Hypothalamic pitiuitary
adrenal axis
When the donor experiences massive catecholamine storm and
loss of ADH & ACTH, what can occur with the donor? -
ANSWER-Vasodilation and systemic inflammation
Neurogenic pulmonary edema
switch from aerobic to anaerobic metabolism
Acute left ventricular failure
Levothyroxine takes how long onset - ANSWER-3-4 hours
Donor has copious amounts of colorless urine and specific
gravity of 1.005 or
less, would suggest what? - ANSWER-Diabetes
insipidus (DI)
, Right sided preload is measure by? - ANSWER-CVP
Left sided preload is measured by? - ANSWER-Wedge pressure
Example of Beta-1 agonist - ANSWER-Dopamine 2-10
mcg/kg/min
Example of Alpha-1 agonist - ANSWER-Dopamine 10-20
mcg/kg/min
Drugs affecting Beta-1 receptors work on which organ? -
ANSWER-Heart
Drugs affecting Beta-2 receptors work on which organ -
ANSWER-Lungs
Drugs affecting Alpha-1 receptors work directly on what? -
ANSWER-Arteries
Which medication decreases blood pressure and
increases heart rate? -
ANSWER-Nitroprusside
(Nipride)
The biggest contributor to coagulopathies after brain death
is? - ANSWER-
Thromboplastin
release