ORGAN DONATION
Requirements:
- Any person 18 years of age or older may become an organ donor by written consent.
- Informed choice to donate an organ can take place with the use of a written document signed by the client prior to death, a will, or a donor card or an advance directive.
- In the absence of appropriate documentation, a family member or legal guardian may authorize donation on the descendant’s organs.
- In case of newborns, they must be full term already ( more than 200 grams)
Laws that Protect potential donors to Expedite acquisition:
1. National Organ Transplant Act: prohibit selling of organs
2. Uniform Anatomical Act: guidelines regarding who can donate, how donations are to
Be made, and who can receive donated organs.
3. Uniform Determination Death Act: Legal determination of brain death ( absence of
breathing movement, cranial nerve reflex, response to any painful stimuli and cerebral
blood flow and flat EEG.
Management of Donor
1. Maintain body temperature at GREATER than 96.8 F with room temperature at 70 -80 F warming blankets, warmer for IV fluids.
2. Maintain greater than 100% PaO2 and suction/ turn & use (PEEP) positive End expiratory pressure to prevent hypoxemia caused by airway obstruction & pulmonary edema.
3. Maintain CVP (Central Venous Pressure) at 8 to 10 mm Hg and systolic blood pressure at greater than 90 mm Hg to prevent Hypotension.
4. Maintain Fluid & Electrolyte balance due to volume depletion
5. Prevent infections due to invasive procedures.
Religions that have different views regarding organ donations
- Russian Orthodox: permits all donations EXCEPT THE HEART.
- Jehovah’s Witness: DOES NOT ALLOW organ donation and all organ to be
transplanted must be drained of blood first.
- Judaism: They permit organ donation as long as with RABBINICAL CONSULTATION.
- Islam: will NOT USE ORGAN STORED IN ORGAN BANKS.
Categories:
Fundamentals In Nursing
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