A 22-year-old, 70-kg man sustained unrecoverable traumatic brain injury and is undergoing evaluation for donation of his heart, liver, and lungs. During transplant evaluation and preparation, he becomes progressively hypotensive, with increased urine output, and laboratory evaluation is notable for a sodium of 148 mEq/L (from initial of 139 mEq/L). Administration of which of the following medications is most appropriate to increase the chances of successful organ recovery?
A. Vasopressin infusion 0.04 U/min and desmopressin 1 µg every 6 hours Wrong Choice!
B. Methylprednisolone 1000 mg IV Wrong Choice!
C. Levothyroxine IV 20 µg followed by infusion Wrong Choice!
D. All of the above Correct Choice
Answer:D
A 22-year-old, 70-kg man sustained unrecoverable traumatic brain injury and is undergoing evaluation for donation of his heart, liver, and lungs. During transplant evaluation and preparation, he becomes progressively hypotensive, with increased urine output, and laboratory evaluation is notable for a sodium of 148 mEq/L (from initial of 139 mEq/L). Administration of which of the following medications is most appropriate to increase the chances of successful organ recovery?
A. Vasopressin infusion 0.04 U/min and desmopressin 1 µg every 6 hours Wrong Choice! B. Methylprednisolone 1000 mg IV Wrong Choice! C. Levothyroxine IV 20 µg followed by infusion Wrong Choice! D. All of the above Correct Choice