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Gift of Life
Meds, Terms, Etc.
13
Nursing
Undergraduate 2
06/06/2011

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Cards

Term
When do you call Gift of Life?
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.
Term
Donor Management Goals: MAP
Definition
>60, may use art line or PAC to monitor

use of dopamine vs. levophed
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)
Term
T4 (Levothyroxine) Dose/Route
Definition
20mcg IVP
10-20mcg/hr ggt
Term
Donor Management Goals: Lung Recruitment (vent settings, O2)
Definition
-PO2 100 on maintenance % of FiO2
-tidal volume 10ml/kg
-PEEP 5 or optimal PEEP
-turning and percussion therapy
Term
Lung Recruitment: Meds Used (2)
Definition
Narcan- 8mg IV with
Norcuron 10mg IV
Term
PO2 Goals
Definition
PO2 greater than 300 on 100%
P/F ratio >3
Term
O2 Challenge
Definition
Vent settings: TV 10ml/kg ideal body weight, PEEP at 5, FIO2 100%

ABG after 30 minutes
Pt goes back to previous settings.
Term
Target Serum Sodium Levels
Definition
135-155
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
Term
Ancef: Use, Dose
Definition
Given to any prospective donor.
1gm every 8h IV
Evaluate for positive cultures or gram stains.
Term
Solumedrol: Use, Dose
Definition
Steroid given to any prospective donor.
15mg/kg every 6h IV
Term
Organs and Time Frames
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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