transplant

Question 1

Why is it important to have a racially diverse donor population

Answer 1

tissue types are inherited, shared racial and ethnic heritage between the donor and recipient increases the likelihood of a match

Question 2

indications for bone marrow transplant

Answer 2

-Leukemia/lymphoma
-RBC disorders such as sickle cell anemia and beta thalassemia
-immune system disorders
-some inherited (genetic) disorders

Question 3

3 sources of stem cells for transplant

Answer 3

-Peripheral blood stem cells
-bone marrow
-umbilical cord blood

Question 4

Can a pregnant woman who meets the criteria for an organ donor still donate

Answer 4

yes
-if mom is brain dead, support fetus or C/S
-once baby is delivered, donate organs
-can’t donate bone marrow until birth of baby and recovery

Question 5

What is the role of the bedside nurse caring for a patient who is an organ donor

Answer 5

-provide care
-coordinating across teams
-testing

Question 6

What is the role of the bedside nurse when caring for a patient who is a potential organ donor

Answer 6

-don’t discuss with family
-contact local organ donation organization

Question 7

How should the bedside nurse respond if a family member asks about the option of their loved one donating one or more organs

Answer 7

-reassure family they should care for pt
-offer to contact donation organization

Question 8

physiologic goals for management of an organ donor prior to removal of the organ(s):
-Hgb
-Hct
-Plt
-INR

Answer 8

Hgb: >8
Hct: >24%
Plt: >50k
INR: <1.5

Question 9

physiologic goals for management of an organ donor prior to removal of the organ(s):
-Sbp
-glucose
-blood pH

Answer 9

-Sbp: >100
-glucose: 70-150
-blood pH: 7.35-7.45

Question 10

physiologic goals for management of an organ donor prior to removal of the organ(s):
-pO2
-UOP range
-temp

Answer 10

-pO2: >100
-UOP: >0.5 mL/kg/hr but <300 mL/hr
-temp: 36-37.5 C

Question 11

Once recipients who match a donated organ are identified, what are 2 categories of consideration for selection of the recipient

Answer 11

-urgency for need of transplant
-geographical proximity to donor

Question 12

What is the most common organ donation from infants? Are there any requirements on the gestational age of the infant

Answer 12

-most common: cornea
-requirements: alive at birth and EGA 36+