Ogan Transplant

Question 1

autograft

Answer 1

transfer of ones own tissue

Question 2

isograft

Answer 2

identical twins

Question 3

allograft

Answer 3

same species

Question 4

xenograft

Answer 4

different species

Question 5

recipient / donor criteria

Answer 5

blood type
tissue type
Size
patient acuity

Question 6

Things that disqualify donations

Answer 6

substance abuse
infections
HTN
time without heart beat
cancer
HIV
age
irreversible organ damage
noncompliance 
unable to go thru rehan

Question 7

what can a living donor donate

Answer 7

liver
kidney
bone marrow
pancrease
lung

Question 8

what can a dead patient donate

Answer 8

one donor can give multiple organs

Question 9

indications for transplant

Answer 9

-end stage organ dz
-physically capable
-psychosocial
financial means

Question 10

KIDNEY TRANSPPLANT

Answer 10

3-4 hr
lower abdominal quadrant
-don’t need to remove native kidneys
LOS 1 week

Question 11

Kidney survival rate

Answer 11

88-94%

Question 12

Kidney transplant problems

Answer 12

• thrombus/stenosis
• URINOMA
• Rejection
• recurrent dz: DM glomerulonephritis, amyloids

Question 13

LIVER TRANSPLANT
how long
LOS

Answer 13

8-12 hrs
2 weeks (2 day-1 week ICU)

Question 14

LIVER

survival rate

Answer 14

94%

Question 15

LIVER complications

Answer 15

hepatic non-function: if INR NOT decr. means rejection
-Infection
hepatic artery/ portal vein thrombosis
biliary tract obstruction - cholesystectomy
recurrent dz

Question 16

HEART TRANSPLANT

• how long
• survival rate

Answer 16

• 8-12 hours

- survial rate 85% but 25% die before donor is available

Question 17

HEART complications

Answer 17

rejection
CAD-within 5 yrs of transplant
HTN
-hyperlipidemia secondary to medications and then later to diet

Question 18

PANCREAS
-what can you do it with
-what does it fix
where

Answer 18

• with kidney transplant
• endocrine function
• lower anterior abdomen
• KEEP OLD PANCREASE

Question 19

what can you not do after pancreas transpant

Answer 19

NO CONTACT SPORTS

Question 20

REJECTION:

hyperacute

Answer 20

immediate: give a bolus of steroids to prevent

Question 21

REJECTION

acute

Answer 21

will reject within 3 months : depends on how fast or severe

Question 22

REJECTION:

-chronic

Answer 22

anytime after the first year

Question 23

Immunosuppression medications

Answer 23

prograf
neoral
rapamune
cell cept
steroids

Question 24

Viral infection prevention

Answer 24

handwashing
GANCYCLOVIR
ACYCLOVIR
NYSTATIN
vacccines

Question 25

psychological problems with transplant

Answer 25

chronic illness
loss of independence
medications hard to deal with
low income

Question 26

Late complications organ transplant

Answer 26

bone disease
cancer-lymphoma
recurrence of dz
** CAN TAKE 3 yr to build bone after transplant

Question 27

ethical issues

Answer 27

• consent
• advertising for organs
• proliferation
• buying organs
• death on waiting lists
• retransplantation