4092 5 Organ Transplant Flashcards
Random nursing dx
Risk for Spiritual Distress
patients with a continued history of _____ ____ are not candidates for liver transplantation
alcohol/substance abuse
In an ESRD patient, this helps indicate the need for a transplant: an___
anuria
In an ESRD patient, this helps indicate the need for a transplant: Pr___
Proteinuria
In an ESRD patient, this helps indicate the need for a transplant: Marked ____
Marked azotemia (elevated BUN and Cr)
In an ESRD patient, this helps indicate the need for a transplant: Severe ___ ___
Severe electrolyte imbalance
In an ESRD patient, this helps indicate the need for a transplant: FVE conditions such as
heart failure and pulmonary edema
In an ESRD patient, this helps indicate the need for a transplant: ___ lung
Uremic lung
Patient ages that make kidney transplant more risky
younger than 2, older than 70
Cyclosporine is before a transplant because its an
immunosuppressant
Kidney transplant: The client is usually ____ within 24 hr of surgery
dialyzed
After a kidney transplant, the patient will use lifelong
immunosuppressants
After a kidney transplant the urine will initially look
pink/bloody
After a kidney transplant, a urinalysis should be done
daily
_____ and/or dialysis may be necessary until kidney function is satisfactory
Diuretics
what type of drug is Mannitol
diuretic
Mannitol vs thiazides/loops
Mannitol is more effective in kidney transplant patients
After kidney transplant, should they eat protein
Yes, to promote healing
After kidney transplant, Restrict ____ intake to prevent fluid retention and hypertension especially when
taking prednisone
sodium
After kidney transplant, potassium intake should be
normal amount
Avoid concentrated ____ to control glycemic factors when on prednisone
sugars
Hyperacute rejection occurs within __ hr after surgery.
48
what is Hyperacute rejection
an antibody response causes blood clots to form in the vessels, causing damage
it’s irreversible
Hyperacute rejection findings
fever, hypertension, pain at the transplant site
Hyperacute rejection tx
immediate removal of the donor kidney
Acute rejection occurs within
1 week to 2 years after surgery
what is Acute rejection
antibodies cause vasculitis in the kidney
Acute rejection findings
Oliguria
Anuria
and others
Acute rejection treatment
increased doses of immunosuppressive medications
When does Chronic rejection occur
months to years
what is Chronic rejection
Blood vessel injury leads to fibrotic tissue, which leads to the kidney becoming nonfunctioning
Chronic rejection tx
Monitor and continue the normal med regimen until dialysis is needed.
Rejection is diagnosed through a kidney ___ and kidney ___
kidney scan and kidney biopsies.
the most common cause of first-transplant-year morbidity and mortality
infection
