Your patient is a 23-year-old female with a history of headaches. This morning she was experiencing...
Your patient is a 23-year-old female with a history of headaches. This morning she was experiencing a really bad headache as her boyfriend was driving her to the university. He thought she was sleeping and by the time they got to the school, 45 minutes later, she was not waking up. She was diagnosed with a cerebral aneurysm and you are taking care of her in the Neurological ICU.
What testing do you expect to be performed to diagnose brain death?
What is the procedure when a patient is determined to be brain dead?
Who should approach the family about organ donation?
The family is approached about organ donation. The patient indicated on her driver's license that she wanted to be an organ donor. Her mother refuses to consent for organ donation. Do you think donation should happen anyway?
Why or why not?
What will be the ethical consequences of your decision?
Homework Answers
Brain dead is a very unexpected statement given to a patient relative who have come in hope to save lives.The following test are determined to diagnose brain dead and it afts as a confirmatory test
- Brain stem reflex test (no pupilary,no corneal,no gag,no oculocephalic reflex with hypothermia )
- Apnea test:if patient is connected to ventilator, it is removed and patient is connected to pulse oxymeter,then a tube is inserted into trachea and 100% oxygen is delivered, simultaneously ABG is done, and waited for 10 minutes again after 10 minutes blood gases value are detected and if PaCo2 is greater than 60 it is diagnosed as brain dead.
- Coma irreversible
When a patient is determined to be brain dead ,it us considered that one one more physician needs to assess and declare it and then the patient family members are informed.
When a patient is declared brain dead and has a organ donor card or mentioned in their driving license then the provider has to inform it to the Local Organ Procurement Organization who will officially check it and if the patient is eligible then they will talk to the family members or the next of kin regarding the patients wish.
When a family member revoked or not accepts the donation in most of the cases donations cannot happen
The main ethical consequences of the decision will be, not respecting the wish of the dead patient, and as a result the patients waiting in the transplantation list may have to wait longer or may die
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Your patient is a 23-year-old female with a history of
headaches. This morning she was experiencing...
Discussion - Brain Death: Ethical Considerations Your patient is a 23-year-old female with a history of...
Discussion - Brain Death: Ethical Considerations Your patient is a 23-year-old female with a history of headaches. This morning she was experiencing a really bad headache as her boyfriend was driving her to the university. He thought she was sleeping and by the time they got to the school, 45 minutes later, she was not waking up. She was diagnosed with a cerebral aneurysm and you are taking care of her in the Neurological ICU. What testing do you expect...
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what should happen next ? on what ethical and moral grounds ?
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