Organ Donation Flashcards
What can be donated
Kidneys Liver Heart Lungs Pancreas Small bowel Corneas Heart Valves Tendons Skin Bone Arteries
Exclusion Criteria for Organ Donation
Active invasive cancer in last 3 years Haematological malignancy Untreated systemic infection Variant CJD HIV disease (but not HIV infection)
A procedure or test becomes a ‘pre death procedure’ when death is considered imminent and end of life care is begun. Up until then only what should be carried out
only patient care should be carried out.
Deemed Authorisation if person has not recorded a donation decision in writing then these safeguards must be carried out
- The healthcare professional is able to complete the duty to inquire adequately
2. No evidence of unwillingness to donate
3. The person is in not in an excepted category
4. Transplantation is not of excepted body part or for research
Children age what can record their decision to donate organs
12-16
What is a pre death procedure
A pre-death procedure is a medical procedure carried out for the purpose of facilitating transplantation and is not a procedure that supports the patient’s health.
When is death confirmed for donation after cardiac death
after 5 mins of systole
What is warm ischaemia
when systolic bp falls below 50mmhg or oxy sats below 70%
Max tolerated Kidneys Warm Ischaemia time
120 mins
Max tolerated liver warm ischaemia time
30 mins
Max tolerated pancreas warm ischaemia time
30 mins
max tolerated lungs ischaemia time
60 mins
cornea donation can take place up to
24 hours after death
tissue donation can take place up to
24 hours after death