Shared Flashcard Set

Details

Organ Procurement and Organ Transplantation
Notes
29
Nursing
Graduate
05/05/2015

Additional Nursing Flashcards

 


 

Cards

Term
Great anesthesia impacts the _____ of the graft organ, the _______ of the transplanted graft, and as a result the _____ ____ ________ of the transplant recipient.
Definition
quality, viability, long term survival
Term
What is the one clear recommendation for organ donation anesthesia and why?
Definition
Use a muscle relaxant to prevent spinal reflexes.
Term
OHM's law
Definition
P1-P2 (perfusion pressure)/ R (resistance)
Term
In reactive hyperemia, blood flow ______ __-__ times normal.
Definition
increases, 4-7
Term
During autonomic storm, NE levels can increase ___%, Epi levels ____%, Dopamine levels ____%
Definition
100%, 700%, 800%
Term
Since pituitary failure is common, what hormone therapy may be helpful?
Definition
-T3
-Methylprednisone
-desmopressin
-insulin (BG 120-180 mg/dL)
Term
What other meds should you have in the room for organ procurement?
Definition
-broad spec antibiotic
-mannitol
-loop diuretic
-heparin
-pressors like NE
Term
Preservation time for heart and lungs
Definition
5 hours
Term
Preservation time for the liver
Definition
12-18 hours
Term
Preservation time for the pancreas
Definition
20-28 hours
Term
Preservation time for kidneys
Definition
48-72 hours
Term
Average length of surgery for transplant patients
Definition
3-7 hours
Term
transplant patients spend _ ___ on the vent
Definition
1 day
Term
transplant patients spend __ _____ in the ICU
Definition
1-2 days
Term
transplant patients are discharged ___ ____ after their surgery
Definition
7-12 days
Term
Kidney transplant is indicated if kidney failure is caused by what 4 conditions?
Definition
1) severe, uncontrollable HTN
2) infections
3) diabetes
4) glomerulonephritis
Term
4 reasons one may not get a kidney transplant
Definition
1) heart, lung or liver disease
2) other life-threatening diseases
3) certain infections (TB, osteomyelitis)
4) difficulty taking mediations several times a day for the rest of their lives.
Term
With modern immunosuppresive regimens, cadaveric transplants have achieved almost the smae 3-year graft survival rates (__-__%) as living related donor grafts.
Definition
80-90%
Term
what are the only remaining absolute contraindications for renal transplant?
Definition
infection and cancer
Term
What are the relative contraindications for renal transplant?
Definition
advanced age (>60) and severe cardiovascular disease
Term
The kidney recipient should have dialysis the _____ or ____ ____ transplantaion and their potassium should be below ___mEq/L
Definition
morning, night before, 5.5 mEq/L
Term
What gases can you use in kidney transplant cases?
Definition
Iso and des. Avoid sevo bc of fluoride ion accumulation and decreased RBF
Term
What muscle relaxants are ok to use because they are not primarily dependent on renal excretion for elimination?
Definition
atracurium, cisatracurium, rocuronium
Term
CVP is helpful because it...
Definition
helps ensure adequate hydration while avoiding fluid overload
Term
What IVF should you use
Definition
NS or 1/2 NS
Term
Preop
Definition
T& C for prbc, ffp, plasma
2 large bore IVs
Art line
Term
Induction
Definition
RSI with succs and etomidate
Term
Maintenance
Definition
Isoflurane at 1 MAC, no Nitrous!
Term
what do you use to monitor renal perfusion intra/postop?
Definition
CVP and foley catheter
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