liver transplant

Question 1

fulminant hepatic failure and what does it cause

Answer 1

-rapid deterioration of liver function
-less than 6 months
-symptoms- abdominal pain, jaundice
-causes by hep b and a
-paracetamol overdose
-automimmune hepatisis
-isckemic liver injuries shock
-wilsons disease
it can causes- ammonia in the brain
-cerebral oedema
-renal failure
(American liver foundation)

Question 2

what would cause an emergency retransplant

Answer 2

-hepatic artery thrombosis
-prrtal vein thrombsis
-biliary complications
-chronic rejection
-recurrent disease
-acute graft failure
(National institue of health)

Question 3

What is the coordinators role in assessing the patient

Answer 3

Assess- patient aware of what they getting into
-type of donatio appropiate for them dbd, dcd, split
-discussing procesure with family
-follow up requirments
Tends to with those in ICU and CC

Question 4

who are part of the assessment team

Answer 4

-surgeon
-hepatologist
-anesthatist
-coordinator
-dietician
-psyciatrist
-social work
-physiotherapist

Question 5

what is the coordinators role in the actual transplant

Answer 5

retrieval-on call surgeon and perfusionist nurse
patient-speal to fmaily and patient, transport, admission
transplant- make sureeverything goes smoothly
after transplant- clinical visits-life long follow up
-weight
-cancer screening
-vaccinations
-return to work
-pergnancy
(Lerret et al, 2021)

Question 6

What needs to be done pre transplant

Answer 6

Blood tests- type
-clotting factors
-general wellbeing
-infection or disease
-antibody tests
-heart and lung tests
to determine what transplant would be best for patient
-dcd
-dbd
split-live or deceased
(NHSBT)