NURSING Anesthesia for Organ Transplantation TEST 4 LATEST VERSIONS REAL EXAM 160 QUESTIONS AND CORRECT ANSWERS |AGRADE
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Course
NURSING Anesthesia for Organ Transplantation T
Institution
NURSING Anesthesia For Organ Transplantation T
NURSING Anesthesia for Organ
Transplantation TEST 4 LATEST
VERSIONS REAL EXAM 160
QUESTIONS AND CORRECT
ANSWERS |AGRADENURSING Anesthesia for Organ
Transplantation TEST 4 LATEST
VERSIONS REAL EXAM 160
QUESTIONS AND CORRECT
ANSWERS |AGRADE
Anesthesia for Organ Transplantation NURSING Anesthesia f or Organ Transplantation TEST 4 LATEST VERSIONS REAL EXAM 160 QUESTIONS AND CORRECT ANSWERS |AGRADE Are lung transplants typically extubated at the end of the procedure? - ✔✔ ANSWER✔✔ -No, typically taken from the OR to the ICU intubated with mechanical ventilation Are patients with cirrhosis immediate candidates for liver transplant? - ✔✔ ANSWER✔✔ -No How are points assigned for albumin when gra ding liver function using the Child -Pugh classification? - ✔✔ ANSWER✔✔ -- 1: >3.5 - 2: 2.8 -3.5 - 3: <2.8 *g/dL How are points assigned for ascites when grading liver function using the Child -Pugh classification? - ✔✔ ANSWER✔✔ -- 1: absent - 2: slight - 3: moderate How are points assigned for bilirubin when grading liver function using the Child -Pugh classification? - ✔✔ ANSWER✔✔ -- 1: <2 - 2: 2-3 - 3: >3 *mg/dL How are points assigned for encephalopathy when grading liver function using the Child -Pugh classification? - ✔✔ ANSWER✔✔ -- 1: none - 2: grade 1 -2 - 3: grade 3 -4 How are points assigned for INR when grading liver function using the Child -Pugh classification? - ✔✔ ANSWER✔✔ -- 1: <1.8 - 2: 1.8 -2.3 - 3: >2.3 How are points assigned for PT when gradi ng liver function using the Child -Pugh classification? - ✔✔ ANSWER✔✔ -- 1: 1-3 - 2: 4-6 - 3: >6 (sec over control) How can donor heart RV failure be avoided? - ✔✔ ANSWER✔✔ -- use meds to improve cardiac contractility & pulmonary vascular resistance - Epi, mil rinone, iNO or inhaled prostacyclin How do volatile anesthetics impact liver function? - ✔✔ ANSWER✔✔ -- All reduce hepatic blood flow in dose -dependent manner - MAP & cardiac output = hepatic blood flow - Vasoconstrictive response of splanchnic circul ation - Halothane causes greatest reduction; halothane hepatitis - Desflurane sl. > hepatic effects than Sevo or Iso How does an LVAD work? - ✔✔ ANSWER✔✔ -assist the heart by withdrawing blood from failing LV with inflow cannula in the LV or LA and pumping it into the aorta or femoral artery (outflow cannula) How does cirrhosis causes portal hypertension? - ✔✔ ANSWER✔✔ -- Obstructive engorgement of vessels within the portal system - Results in increased retrograde pressure to the splanchnic circulation (blood flow to the abdominal organs including the stomach, spleen, pancreas, small and large intestine) - Reversal of portal venous blood flow portal hypertension How does drug -induced hepatitis occur? - ✔✔ ANSWER✔✔ -injury to the liver resulting from idiosyncratic reaction to a medication or overdose resulting in toxicity How does mechanical ventilation impact liver function? - ✔✔ ANSWER✔✔ -- Can contribute to hepatic blood flow - Hypocapnia & alkalosis hepatic blood flow How has the frequency of ESRD changed over the years? - ✔✔ ANSWER✔✔ -incidence increased from 1980 -2001, now has plateaued
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