The organ donation process Flashcards
Do all infections preclude organ donation?
No Identified infections responding well to treatment do not preclude organ donation Infections that do preclude: Ebola Disseminated TB MDR infections Unexplained septic shock
Which malignancies can be considered for organ donation?
Primary brain tumour
Cured malignancies
How are kidneys assessed for organ donation?
Urine output
Urine microscopy
Blood urea and creatinine
How is the heart assessed for organ donation?
CO BP Medical support ECG changes CXR changes
How are the lungs assessed for organ donation?
Ventilator settings
BGA
CXR
How is the liver assessed for organ donation?
LFTs
Which tests are critical to all organ donations?
Blood typing
Tissue typing
What are the management goals of an organ donor?
HR 60-120
SBP >90
MAP >70
What is a normal pH?
7.35 - 7.45
What is a normal pCO2?
4.6 - 6kPa
What is a normal pO2?
> 8kPa
Name complications of brain death
Hypotension Hypothermia Diabetes insipidus Hypernatremia Arrythmias
Why is a left kidney typically easier to transplant?
Longer renal vein
What does a positive cross match mean?
Donor and receiver are not compatible
