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1. A patient in the ICU has been declared brain dead after a traumatic brain injury and the family
has agreed to organ donation in accordance with the patient’s prior wishes. He is found to have
a sodium of 148 mEq/Lwith urine output of 200 mL/h over the past 4 hours. Urine osmolality
is150 mOsm/L. What is the most appropriate therapy?
A. Desmopressin 0.5 to 2 µg IV
B. Continue maintenance fluids at current rate of 100 mL/h
C. Bolus 2 Lof normal saline
D. Continue to monitor urine output until organ harvesting
2. The ICU team caring for a patient who was admitted 4 days ago with traumatic brain injury
believes the patient has a norecoverable neurologic injury and is planning on performing a
brain death examination later in the day. Who is the most appropriate person to speak to the
family regarding potential organ donation?
A. Transplant team
B. ICU attending physician
C. Organ procurement organization in-house coordinator
D. Bedside nurse
3. Which of the following is NOT a general guideline for hemodynamic management of organ
donors?
A. Mean arterial pressure greater than 60 mm Hg
B. Urine output of 1 mL/kg/h
C. Intravascular volume replacement with crystalloids
D. Intravascular volume replacement with hydroxyethyl starch (HES)
4. Which is a generally accepted threshold of donor organ suitability for lung transplantation?
A. P/F >200 on 5 cm H2O PEEP
B. P/F >300 on 10 cm H2O PEEP
C. P/F >300 on 5 cm H2O PEEP
D. P/F >400 on 7 cm H2O PEEP
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