Which of the following medications has been demonstrated to improve lung procurement after a patient has been declared brain dead?
A. pulmonary surfactant
B. third generation cephalosporin
C. dexmedetomidine
D. Solu-Medrol
ANS: D
A. Incorrect response: See explanation D.
B. Incorrect response: See explanation D.
C. Incorrect response: See explanation D.
D. Correct response: Aggressive management of brain dead patients to optimize lung procurement typically includes monitoring central venous pressure, diuresis, corticosteroids, and judicious use of fluids to maintain adequate arterial pressure, with vasopressor use as needed. An intravenous bolus of Solu-Medrol (15 ml/kg) once a patient has been declared brain dead has demonstrated to improve oxygenation and lung procurement, mainly likely by mediating the pro-inflammatory response that follows brain death
You might also like to view...
Name the four primary elements of a municipal water supply system
What will be an ideal response?
As you are attempting to resuscitate an adult man with cardiac arrest, you receive a "o shock advised" message from the AED. What should you do next?
A. continue CPR B. Check for a pulse C. Assess for breathing D. Reanalyze the rhythm