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Kidney Transplant
Renal 2 Exam
| Question | Answer |
|---|---|
| People who DO NOT qualify for kidney transplant | CA, TB, Osteomyelitis, heart/lung/liver disease, High risk if have CV disorder or DM (although DM may have done) |
| Preop assessment includes | Support of recipient and understanding of life challenges |
| What education would be provided | Lifelong immunosupressants, stop smoking, maintain BP, control BG |
| What donors make up 80% of transplants? | Cadaver |
| Live donors need to be _____ match and _______ compatible | tissue, blood type |
| Best donor is | twin or sibling |
| Donor will be in hospital ______ days | 3-5 |
| Donor should do no heavy labor/lifting for _____ months | 1-2 |
| Donor may return to work after _____ weeks | 6-8 |
| Recipients will be hospitalized for ____days | 5-7 |
| Recipient will require _______ doctor visits. | weekly |
| Anti-rejection/immunosuppressants must be taken________ | for life |
| New kidney is placed behind _________ for protection and attached to _______ artery and vein | iliac crest, iliac |
| S/E transplant meds include | wt gain, increased sweating, acne, puffy face, swollen abd, hand tremors, inc in amount of hair |
| Post-op ICU care | Careful fluid replacement, may be on dialysis until kidney starts to fx (24h), hourly outputs, Daily UA, daily wts, monitor F&E, s/s infection |
| Rejection can occur __________ after transplant | few days to months |
| 50% of rejection occurs within first _____ months | 3 |
| _____% of rejections can be reversed. What meds are given? | 90-95; Prograft, Cellcept, Imuran, Cyclosporine |
| Hyperacute rejection occurs with in _____ of Sx | 48h |
| What are s/s of hyperacute rejection? | Fever, HTN, pain at transplant site |
| What will happen to kidney of hyperacute rejection | Removal |
| Acute rejection can occur ______week to ____ years after sx | 1 week, 2 years |
| S/S acute rejection | oliguria, anuria, low grade T, tenderness at sx site, HTN, lethargy, azotemia, fl retention, Inc BUN creat |
| Chronic rejection can happen over ____ to ____ after sx | months to years |
| What are main sym of chronic rejection? How is it treated? | Azotemia, fl retention, e-lyte imbalance. Tx with immunosuppressants, dialysis |
| What are complication of surgery for transplant? | Infection, bleeding, thrombus, CA d/t immuno. drugs |
| What are some pros of transplant? | Improved quality of life, most similar to original kidney function, no more dialysis, no restricted diet, normal schedule, lasts up to 25 years |
| What are some cons of transplant? | Stress of waiting for match, risk of major surgery, risk of rejection, large number of meds (not carried at hospital. pt must bring. Expensive), decreased resist to illness/infection, gain approx 20 lb post transplant d/t fluid retention |
| Diet for transplant | Balanced, nutritional, restrict Na |
Created by:
mreedy
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