Term
| When do you call Gift of Life? |
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Definition
A. Within one hour of the patient meeting clinical triggers:
1. On a vent w/ GCS of 5 or less
2. Being evaluated for brain death
3. Being considered for withdrawal of support
4. Change in resuscitation status
B. Within one hour of every death. |
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Term
| Donor Management Goals: MAP |
|
Definition
>60, may use art line or PAC to monitor
use of dopamine vs. levophed |
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Term
| Donor Management Goals: Vasopressors |
|
Definition
1. T4
2. Vasopressin (more for diabetes insipidus than bp management, helps improve graft fxn for heart and kidneys) |
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Term
| T4 (Levothyroxine) Dose/Route |
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Definition
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Term
| Donor Management Goals: Lung Recruitment (vent settings, O2) |
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Definition
-PO2 100 on maintenance % of FiO2
-tidal volume 10ml/kg
-PEEP 5 or optimal PEEP
-turning and percussion therapy |
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Term
| Lung Recruitment: Meds Used (2) |
|
Definition
Narcan- 8mg IV with
Norcuron 10mg IV |
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Term
|
Definition
PO2 greater than 300 on 100%
P/F ratio >3 |
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Term
|
Definition
Vent settings: TV 10ml/kg ideal body weight, PEEP at 5, FIO2 100%
ABG after 30 minutes
Pt goes back to previous settings. |
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Term
| Target Serum Sodium Levels |
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Definition
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|
Term
| UO Goal and Meds to manage |
|
Definition
100-300ml/hr
Vasopressin 0.5-2 unites.hr IV (not if kidneys are failing)
Lasix and/or Mannitol |
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Term
|
Definition
Given to any prospective donor.
1gm every 8h IV
Evaluate for positive cultures or gram stains. |
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Term
|
Definition
Steroid given to any prospective donor.
15mg/kg every 6h IV |
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Term
|
Definition
Heart 4-6 hours
Lungs 4-6 hours
Liver 6-8 hours
Pancreas 6 hours
Intestine 8-10 hours
Kidneys 24-48 hours |
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