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Questions
Select the following criteria that should be met for the declaration of brain death:
Known cause of injury
Clinical exam findings (absence of cranial nerve functions)
Absence of confounding drugs
Absence of hypothermia
All of the above
A patient is admitted with an intracranial hemorrhage and physicians have determined that the injury is non-survivable. According to the clinical exam, the patient is areflexic. The next step in the patient's plan of care is to:
Discuss withdrawing ventilator support with family
Support the patient physiologically and begin brain death testing
Check to see if the patient is on an organ donor registry and allow this to guide your next step in treatment.
Continue current treatment
Who should approach a patient's family about organ donation?
Attending physician since he/she has likely developed a relationship with them
The hospital chaplain
The organ procurement organization representative
Social Worker
A patient presents with a severe head injury from a motor vehicle collision. His injury is deemed non-survivable and brain death testing is scheduled for the next morning. The patient's family has made the patient a "do not resuscitate" (DNR). You should:
Extubate the patient and move him to a non-ICU bed
Support the patient physiologically for brain death testing and to maintain perfusion of the organs
Withdraw all medications and allow nature to take its course
Not do anything differently
Which of the following is NOT a likely result from aggressive neuroresuscitation?
Recovery of the patient
Conditions that allow for brain death testing
Eliminates the need for any surgical intervention
Preserving the option of organ donation for the patient's family
Who determines whether a patient is a suitable organ donor?
Intensivist
Bedside nurse
The Organ Procurement Organization
Transplant surgeon
The attending physician's permission is required before referring a patient who has met a clinical trigger to the organ procurement organization, since this referral will ultimately impact the patient's plan of care.
True
False
Catastrophic Brain Injury Guidelines are standard clinical care practices that should be implemented as soon as possible after someone has suffered a catastrophic brain injury, to maintain the physiology of the body.
True
False
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