organ donation 2 Flashcards
before donation requirements
RTA National register assess donor intentions.
1.) consent and family interview took place (coroners)
2,) donor stability
3.)donor assessment (medical and social health questionnaire completed
clinical tests for organ donation
height and weight,
available chest xray
all meds and fluids
abgs
fbc, lft, coags,
haemodynamics
social questionnaire
donor management
maintain organ perfusion
continue haemodynamic perfusion
respiratory care
monitor biochemistry / haematology
good general nursing care
maintain dignity and respect
organ allocation
extra- renal organs
kidneys
extra- renal organs
blood group size, size of donor, recipient, negative cross match, +/- other factors
kidney
national allocation system
computer generated list
retrieval teams
donation specialist coordinators, abdominal retrieval teams, cardiothoracic teams
circulatory death
intubated and ventilated
un- recovery injury
death is imminent upon withdrawal of treatment < 90 minutes
aged 5-75 years old
palliation
family present
extubation near operating room
comfort care
patient certified disease
goodbyes
transferred for organ retrieval
> 90 mins, back to ICU
kidney allocation
allocated during or after OT, 24 hours
heart and lungs allocation
4-6 hours, allocated before OT
Liver, pancreas, intestines
8-12 hours, allocated before OT