Answer to Question 1
ANS: D
A. Incorrect response: See explanation D.
B. Incorrect response: See explanation D.
C. Incorrect response: See explanation D.
D. Correct response: Aggressive management of brain dead patients to optimize lung procurement typically includes monitoring central venous pressure, diuresis, corticosteroids, and judicious use of fluids to maintain adequate arterial pressure, with vasopressor use as needed. An intravenous bolus of Solu-Medrol (15 ml/kg) once a patient has been declared brain dead has demonstrated to improve oxygenation and lung procurement, mainly likely by mediating the pro-inflammatory response that follows brain death
Answer to Question 2
ANS: B
A. Incorrect response: See explanation B.
B. Correct response: Standard criteria for lung donation are:
Pao2/Fio2 greater than 300 while breathing and Fio2 of 1.0
5 cm H2O PEEP
Clear chest radiograph
Age less than 55 years
No chest trauma
Absent aspiration, sepsis, or purulent secretions
Smoking history less than 20 pack-years
Absent history of malignancy
C. Incorrect response: See explanation B.
D. Incorrect response: See explanation B.
Bronchoscopy. Figure illustrates physician using a bronchoscope to inspect the patient’s bronchial t
Patient learns to not be afraid
Effective listening skills demonstrate empathy to the patient and break down barriers to communicati
The reminder card should be completed and handed to the patient after the appointment is scheduled.
An X-ray image of lung cancer.
Amyloid plaques (stained blue) in the brain of a deceased patient who had Alzheimer’s disease.