Needing an Organ Jerome is a wealthy father of four young children who works as a pediatrician at the local clinic. He falls seriously ill, and while in the hospital he is told that unless he receives a new kidney within the next few weeks, he will likely die. His entire family is tested to see if they can donate a kidney, but no one is a good match. Jerome is placed on the kidney transplant list. But time is running out, and there isn't a good chance that he will get the kidney he needs since there are many people in his situation who need kidneys, too. Jerome's wife, Marilyn, desperate to save her husband's life, learns that there are other ways to get a matching kidney. She can offer a small amount of money to people in certain poor . countries who are willing to take a test to see if they are a match for Jerome. Once Marilyn finds a match, she can pay that person to donate a kidney. A person can live normally with just one kidney. Jerome's family can offer enough money to give a donor a comfortable life in his home country. The surgery to remove a healthy kidney for donation is painful and sometimes recovery is difficult.
What is the ethical thing to do?

The parents of a 9-year-old girl bring their daughter to the ed. for the last 12 hours, the child has suffered severe nausea and vomiting, as well as diarrhoea and abdominal cramps. further discussion with the child indicates that she suffers from blurred vision and headache. the parents originally were worried about bringing the child to the ed because they feared deportation since the family are illegal immigrants employed to pick strawberries on a nearby farm. on direct questionning, the parents admit that the child was assisting with spraying crops with pesticides the previous day. none of the family members was wearing any protecting clothing. her bp is 88/48 mmhg, pulse is 90/min, rr 33/min, temp 38 c. the child appears sweaty and confused. auscultation of the lungs reveals a diffuse wheeze bilaterally. pupils are miotic and the child has diffuse muscle weakness. which of the following interventions is the most appropriate treatment? - atropine- charcoal- glucagon- naloxone- exposure: consider organophosphate poisoning, which inhibits cholinesterase and results in accumulation of ach in both muscarinic and nicotinic sites. pralidoxime activates achatropine competes with ach only at muscarinic receptors, but will not reverse nicotinic effectscharcoal = gastric decontaminationglucagon = reverse beta-blocker overdosenaloxone = reverse effects of opioids