Week 2 Organ & Tissue Donors

Question 1

surgical removal of an organ from a donor and placement of that organ into a recipient

Answer 1

organ donation

Question 2

organ donors must be deceased (T/F)

Answer 2

false, living or deceased

Question 3

OPO

Answer 3

organ procurement organization

Question 4

commonly donated organs (6)

Answer 4

heart, lungs, liver, kidneys, pancreas, intestines

Question 5

commonly donated tissues (7)

Answer 5

eyes, blood vessels, cartilage, skin, bone, pericardium, soft tissues

Question 6

in organ donation cases the incisions generally allow for full access to the cavities (T/F)

Answer 6

true

Question 7

preparation of an organ donation case is similar to ____

Answer 7

preparation of an autopsy case

Question 8

initial steps in preparation of an organ donation case (5)

Answer 8

-remove temporary sutures
-disinfect
-evaluate what organs and structures are missing/present
-document on your embalming report
-check decedent care report from OPO

Question 9

in organ donation cases use vessels that are ____

Answer 9

closest to the center of distribution (aortic arch)

Question 10

in organ donation cases drainage likely will not be an issue but ____ and ____ are ideal for drainage if necessary

Answer 10

superior vena cava
inferior vena cava

Question 11

in an autopsy or organ donation case you must not make external incisions (T/F)

Answer 11

false, raise vessels as needed for distribution

Question 12

if multiple organs are donated, treating cavities with ____ before suturing may be necessary

Answer 12

preservative compound

Question 13

when suturing, pull on the ____ not the ____

Answer 13

ligature
needle

Question 14

removal of the entire eye

Answer 14

enucleation

Question 15

____ or ____ are recommended for arterial injection in cases of eye donation

Answer 15

restricted cervical
instant tissue fixation

Question 16

high pressure injection of arterial fluid + co–injection in burst-rest pattern used to maximize preservation and minimize
swelling

Answer 16

instant tissue fixation

Question 17

when using restricted cervical injection in cases of eye donation, inject ____ first and use ____ pressure

Answer 17

the trunk
low (to prevent swelling)

Question 18

steps following arterial injection in cases of eye donation (10)

Answer 18

-remove saturated cotton from orbits
-dry and cauterize orbital cavity
-place a trocar button in the base of the orbit
-place incision seal powder into the orbit
-fill cavity with mastic compound or tightly pack cotton
-insert eye caps
-close the eyes properly
-secure line of closure if necessary
-apply a lanolin spray or massage cream to prevent dehydration
-keep head elevated

Question 19

options to reduce swelling in eye donation cases (5)

Answer 19

-surface compress of cotton saturated with
water on top of eyes
-chemical compress saturated with gel or
liquid cauterant or cavity fluid
-tissue channeling with a hypodermic
needle
-pressure on eye orbit
-electric spatula

Question 20

skin donation may be ____ or ____

Answer 20

partial / split–thickness or full–thickness

Question 21

a ____ is used to take very thin sheets of skin

Answer 21

dermatome

Question 22

in skin donation dermal and adipose layers may be removed down to the muscle (T/F)

Answer 22

true

Question 23

facial discolorations may be present particularly if skin was taken from the
front of the decedent (T/F)

Answer 23

false (back of the decedent)

Question 24

treat skin donation sites with ____ before arterial embalming

Answer 24

phenol or preservative gel

Question 25

steps after arterial embalming in a skin donation case (7)

Answer 25

-apply a coating of preservative gel over the treated tissues -use body bridges to allow air to circulate under body if necessary -once tissues are dried, place fresh plastic sheeting and a new absorbent pad under decedent -place absorbent preservative compound on the pad -secure plastic sheeting with mortuary tape -use a plastic garment that fully covers the donation area -add absorbent powder to the plastics

Question 26

____ bone donation procedure involves taking associated tissue and vessels for continuity

Answer 26

en bloc

Question 27

the ____ vein is commonly taken during long bone procurement

Answer 27

greater saphenous

Question 28

commonly donated bones (9)

Answer 28

humerus radius ulna femur tibia fibula iliac crest acetabulum ribs

Question 29

prosthetics put into a body by an organ procurement team should be removed initially and replaced after arterial embalming (T/F)

Answer 29

true