The nurse explains to the family that their loved one will be considered brain dead when they show three signs: 1) they are flaccid and unresponsive, 2) CPR is ineffective in restoring their heartbeat, and 3) they are apneic and without brainstem reflexes. The document discusses the criteria used to determine brain death in a patient after head trauma from a car accident.
The nurse explains to the family that their loved one will be considered brain dead when they show three signs: 1) they are flaccid and unresponsive, 2) CPR is ineffective in restoring their heartbeat, and 3) they are apneic and without brainstem reflexes. The document discusses the criteria used to determine brain death in a patient after head trauma from a car accident.
The nurse explains to the family that their loved one will be considered brain dead when they show three signs: 1) they are flaccid and unresponsive, 2) CPR is ineffective in restoring their heartbeat, and 3) they are apneic and without brainstem reflexes. The document discusses the criteria used to determine brain death in a patient after head trauma from a car accident.
C) The patient is apneic and without brainstem reflexes Your patient is a 21 year old presenting with head trauma d/t an automobile accident in the neuro ICU. The patient's family asks about organ donation and wants to know how brain death determination is made. The nurse explains the patient is considered brain dead when:
1) The patient is flaccid and unresponsive
B) CPR is ineffective in restoring heartbeat C) The patient is apneic and without brainstem reflexes D) There are no visible respirations and no apical pulse can be auscultated 1) Recent malignancy (excluding skin cancer) 2) Active/chronic infections 3) Irreversible disease Examples: inoperable cardiac disease, chronic lung disease, severe peripheral vascular disease 4) Morbid obesity: BMI >35 5) Current substance abuse 6) Inability to consent 7) History of poor adherence Transplant Recipient Contraindications (7) 1) Recent malignancy (i.e., cancer excluding skin cancer) 2) Active/chronic infections 3) Irreversible disease Examples: inoperable cardiac disease, chronic lung disease, severe peripheral vascular disease 4) Morbid obesity: BMI >35 5) Current substance abuse 6) Inability to consent 7) History of poor adherence 8) HTN 9) Diabetes What donor contraindications were discussed. (9)