A patient, identified as a potential organ donor, has been diagnosed as brain dead and is being maintained on ventilator support
The nurse is reviewing the patient's hemodynamic parameters and is concerned about which of the following findings? 1. central venous pressure 5 mmHg
2. heart rate 90 beats/minute
3. oxygen saturation 97%
4. respiratory rate 16 with ventilator
1
Rationale: There are specific hemodynamic parameters that an adult potential organ donor must meet. These parameters include blood pressure, heart rate, oxygen saturation, central venous pressure, pulmonary capillary wedge pressure, systemic vascular resistance, and cardiac index. Of the choices, the one parameter that is not within normal limits is central venous pressure. The central venous pressure needs to be between 8 to 12 mm Hg. The heart rate of 90 beats/minute is within the parameter. The oxygen saturation of 97% is within the parameter. Respiratory rate is not used to determine if an adult can be a potential organ donor.
You might also like to view...
In the last decade, and with the requirement to build EHRs that meet the 2009 meaningful use criteria, the use of which type of data has expanded to include pay-for-performance initiatives, care coordination, patient safety monitoring, and public
health surveillance? 1. Patient 2. Coded 3. Embedded 4. Qualitative
A patient, admitted with chest pain, as a baseline cTnT level of 1.1 mcg/L. The nurse realizes that the level will be rerun in a few hours to determine
1. response to intravenous therapy. 2. response to pain medication. 3. resolving myocardial damage. 4. response to oxygen therapy.
While examining a patient's peripheral intravenous (IV) site, the nurse observes a red streak along the length of the vein. On palpation, the vein feels hard and cordlike. What is the nurse's best action?
a. Check for a blood return and notify the prescriber. b. Discontinue the infusion and remove the IV needle. c. Apply ice packs to the vein and continue the infusion. d. Change the IV fluid to normal saline and redress the site.
Herbs are
A) substances made from plants. B) used to make up a deficiency. C) vitamins and nutrients. D) used to strengthen the whole.