Author Question: Which of the following medications has been demonstrated to improve lung procurement after a patient ... (Read 38 times)

Wadzanai

  • Hero Member
  • *****
  • Posts: 528
Which of the following medications has been demonstrated to improve lung procurement after a patient has been declared brain dead?
 
  A. pulmonary surfactant
  B. third generation cephalosporin
  C. dexmedetomidine
  D. Solu-Medrol

Question 2

Which of the following factors are standard criteria for lung donation? I. smoking history of less than 50 pack-years II. donor age less that 70 years III. Pao2/Fio2 greater than 300 with an Fio2 of 1.0 IV. absence of chest trauma
 
  A. I, II only
  B. III, IV only
  C. I, III, IV only
  D. II, III, IV only



phuda

  • Sr. Member
  • ****
  • Posts: 348
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.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

Drugs are in development that may cure asthma and hay fever once and for all. They target leukotrienes, which are known to cause tightening of the air passages in the lungs and increase mucus productions in nasal passages.

Did you know?

Always store hazardous household chemicals in their original containers out of reach of children. These include bleach, paint, strippers and products containing turpentine, garden chemicals, oven cleaners, fondue fuels, nail polish, and nail polish remover.

Did you know?

There are more bacteria in your mouth than there are people in the world.

Did you know?

Alzheimer's disease affects only about 10% of people older than 65 years of age. Most forms of decreased mental function and dementia are caused by disuse (letting the mind get lazy).

Did you know?

The first war in which wide-scale use of anesthetics occurred was the Civil War, and 80% of all wounds were in the extremities.

For a complete list of videos, visit our video library