CPTC QUESTIONS AND ANSWERS

CPTC QUESTIONS AND ANSWERS AOPO provides education, research, information sharing, and technical assistance CMS offers financial coverage to individuals with end stage renal disease and reimburses for organ transplant, as well as holds hospitals accountable for referring potential donors HRSA Part of the US Dept of Health and Human services, improves access the healthcare for uninsured, isolated, or medically vulnerable Americans NOTA outlaws the sale of human organs and established OPTN, task force and SRTR. USDRS collects, analyzes, and distributes data about end-stage, renal disease, which helps one understand the demand for kidney transplantation. UAGA provides legal right to uphold a registered donor's wishes and advocate for their intent to be a donor, even if the family doesn't support OPO incurs cost, reimbursed by transplant center, reimbursed by Medicare reimbursement r/t renal organs UDDA provided medically sound base for determining death NOTA created OPTN, established federal grants for OPO, and created SRTR Omnibus Budget Reconciliation Act requires that all hospitals participating in Medicare or Medicaid have protocols for encouraging organ and tissue donation 62% what % of bd donors will experience cardiac arrest within 24 hrs 87% what % of bd donors will experience cardiac arrest within 72 hrs 66% in 24hrs Once WDLS begins, how long on average before family decision is made to withdraw care TB, Gangrene of bowel, perforated bowel, and abdominal sepsis bacterial rule outs - 4 aplastic anemia, agranulocytosis, extreme immaturity, msof due to overwhelming sepsis general rule outs - uncommmon 500 grams or gestational age 32 weeks extreme immaturity 70, documented BD criteria for eligible donor 70, absence of 3 or more BSR criteria for imminent 70, or meets exclusionary criteria criteria for neither True donor can be classified as neither even if declared bd and organs recovered - T or F cross clamp must occur to be converted what is the difference in conversion and consent rate 30 days 48 hrs, 30 days 12-24hrs recommended time of b/w Bd testing in pediatrics O universal donor AB universal recipient HIV diagnostic testing is not acceptable for what VDRL/RPR diagnostic testing is acceptable for what 24hrs how long does OPO have to report positive screening or diagnostic tests post recovery Cushing's triad sign of increased ICP - vitals HTN, bradycardia, widened pulse pressure what is Cushing's triad Cushing's reflex as the brainstem is compressed , the body attempts to improve cerebral perfusion by increasing bp, which subsequently decreases HR hypothalamic-pituitary-adrenal axis what controls ACTH/ADH before herniation aerobic to anaerobic brain death causes what switch in metabolism 3-4 hours Onset for T4 6 CVP, 10-15% SVV what CVP and SVV for lung donors 1.005 specific gravity of urine is DI right sided preload CVP measures what left sided preload wedge pressure -PCWP measures what 5-12 mmHg normal PCWP pulmonary edema elevated PCWP means what 2-10mcg/kg/min dosage for Dopamine at Beta 1 Alpha 1 agonists levo, neo, and dopamine @ 10-20mcg 0.5-2 mcg/kg/min renal dose of dopamine Beta 1, Beta 2, Alpha 1 heart, lungs, arteries - what kind of cells Nitroprusside drug that decreases BP while raising HR heart donor, and asthmatics who do you not give beta blocker to Isuprel drug for bradycardia thromboplastin and other mediators released from ischemic brain tissue coagulopathies in BD donors caused by what maintain elevated MAP good practice for donors with hx of htn kidneys not being perfused adequately decreased urine output may be caused by what amylase - salivary glands are injured releasing into bloodstream facial fxs cause elevated what and why pathology of the heart segmental akinesis caused by what catecholamine storm global akinesis caused by what long-standing HTN LVH usually seen with what =40 males, =45 females UNOS policy on cardiac cath infiltrate filling of airspace with fluid, inflammatory exudates, or cells 10-30% hospital acquired pneumonia occurs in what percentage of ICU pts atelectasis collapse of the alveoli PEEP how to treat atelectasis pneumonia consolidation demonstrates what purulent secretions and elevated WBCs s/s of pneumonia pleural effusions fluid overload causes what increased pressure and low protein what causes plural effusions can help with pulmonary edema why give Narcan shunting block b/w the blood and oxygen meeting arterial P02 to Fi02 PF ratio sodium and potassium sodium bicarb will increase what eletrolytes hypocalcemia, hypophosphatemia, and hypomagnesemia electrolyte imbalances common in bd pts hypocalcemia what electrolyte imbalance common with blood transfusion moving fluid into cells and out of blood how does D5 help Na levels DIC what is common with penetrating head wounds support BP and replace platelets and RBCs mgt goal for DIC sodium citrate blood is preserved with what hyperkalemia, hypomagnesemia, hypocalcemia, metabolic acidosis possible adverse electrolyte effects of sodium citrate likely positive crossmatch high PRA means what