Summary

Summary Exam 4 (Organ Procurement & Transplant: Lecture Notes), 178 Questions And Correct Answers, With Complete Solution 2024.

1 purchase

Course
Hepatology

Institution
Hepatology

[Show more]

Preview 3 out of 19 pages

View example

Uploaded on March 7, 2024
Number of pages 19
Written in 2023/2024
Type Summary

exam 4 organ procurement transplant lecture no

LectDan

Member since 2 year 185 documents sold

$13.99

Add to cart

Add to wishlist

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached

Exam 4 (Organ Procurement & Transplant:
Lecture Notes), 178 Questions And Correct
Answers, With Complete Solution 2024.
A single donor can provide up to ____ life-saving organs
8
Can you name the four most commonly transplanted organs? (start the list with
the most common)
1. kidneys
2. liver
3. heart
4. lung
What is a VCA/CTA? What does this stand for?
VCA = vascular composite allograft
CTA = composite tissue allograft

these are the same thing, basically mean (any) two or more tissues are combined for
grafting
What was the goal of the Southeastern Organ Procurement Foundation? What is
it now?
enhance access → computer-based organ sharing

today: American Foundation for Donation of Transplantation
The development of what medication was a game changer for organ transplant
success?
cyclosporin
When was cyclosporin discovered/developed?
1974
What is cyclosporin used for? Drug class?
immunosuppressant drug used to treat organ rejection post-transplant

calcineurin inhibitor
What is a negative side effect of calcineurin inhibitors?
increases the risk of infection and malignancy d/t its immunosuppressive actions
What are the 4 components of the National Organ Transplant Act?
1. made it illegal to buy or sell organs

2. established Organ Procurement Transplant Network (OPTN)

3. established United Network for Organ Transplant (UNOS)

4. created a scientific registry of transplant recipients
What is UNOS?

,Non-profit, charitable organization that serves as the nation's coordinator of organ
procurement and allotment under contract with the US government
What is the name of the organization that manages the nation's transplant waiting
list and maintains the DONORNET database? When was it established?
UNOS

1984
How many folks are currently awaiting organs (on the transplant list)?

What is the most often transplanted organ?
104,068

kidney
Name the 4 sources of organ donation
1. brain dead donor
2. donation after cardiac death
3. marginal donors
4. living donors
What is the most common and most ideal source of organs?
brain dead donor
Donation after cardiac death: what is the definition of death for these patients?
What are the requirements of these donors to allow them to donate organs?
cessation of circulation and respiration

death must occur within 2 hours s/p removal of life support and then must remain dead
for 2 minutes before the organs can be harvested
The decision to withdraw care from a patient who is NOT brain dead has to be a
________________ decision, made _____________ the organ donation
conversation
the decision to withdraw care from a patient who is NOT brain dead has to be
a completely separate decision, made before the organ donation conversation
What are marginal donors? Can you name an example?
donor organs that have an increased risk of primary graft dysfunction

examples:
-donation after cardiac death
-older donor patient
(ie not an ideal organ, but one that can still be transplanted)
What are the advantages of a living donor? (2)
1. healthy donors with a known medical history

2. less cold ischemic time (usually in two ORs next to each other)
are marginal donors and organ donors a part of the same list?
no, marginal donors comprise a separate "alternate" transplant list
It is important to maintain euvolemia in organ transplant patients (especially
lungs). What are the CVP/PCWP values you're aiming to maintain?

, CVP 6-12

PCWP <12
Of our standard medications (versed, fentanyl, NMBDs), which will you expect to
use in organ procurement surgery? Why?
only NMBDs

brain dead patients may still have intact spinal reflexes that you need to block
What is the order of organ procurement?
1a. Face (if taking)

1b. Heart
2. Lung
3. Liver
4. Pancreas
5. Small intestine
6. Kidney
During organ procurement, what are the organs perfused with?
hyper-osmotic, hyperkalemic solution,

containing insulin, glucose and reducing agents
when does the "ischemic time" clock start ticking?
once organs have been flushed with the hyperosmotic, hyperkalemic solution
During organ procurement, when is anesthesia's job typically done? Explain what
that means
anesthesia's job is typically over s/p organ flush

gtts are stopped and ventilator is turned off
What are the maximum cold ischemic times for the following organs?
Heart:
Lung:
Liver:
intestines:
pancreas:
Kidney:

cornea:
tissue:
Heart: 4-6 hrs
Lung: 4-6 hrs

Liver: 8-12 hrs
intestines: 8-16 hrs

pancreas: 12-18 hrs

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller LectDan. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67418 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Seller

Exam (elaborations) ·

Summary

Summary Exam 4 (Organ Procurement & Transplant: Lecture Notes), 178 Questions And Correct Answers, With Complete Solution 2024.

Document information

Subjects

Written for