Renal Transplant

Question 1

What is the criteria to qualify for a kidney transplant?

Answer 1

advanced kidney disease
2-70 years of age
less than 40 BMI

Question 2

what would prevent someone from qualifying for a kidney transplant?

Answer 2

cardiac disease
active cancer
alcoholism
chronic infections
COPD

Question 3

what are the two MAIN concerns with transplants?

Answer 3

infection and rejection

Question 4

what is the preoperative care for kidney transplant?

Answer 4

prophylactic antibiotics
immunosuppressant therapy
monoclonal antibodies

Question 5

what are the post op nursing actions for transplant?

Answer 5

hourly urine output more than 0.5ml/kg/hour
assess color of urine
notify for oliguria or diuresis
Daily UAs
signs of rejection
stool softeners

Question 6

What is hyperacute rejection?

Answer 6

within 48 hours of surgery
fever, HTN, pain at site
calls for immediate removal

Question 7

what is acute rejection?

Answer 7

1 week to 2 years after
oliguria, fever, anuria, HTN, azotemia, fluid retention
must increase dose of immunosuppressants

Question 8

What is chronic rejection?

Answer 8

months to years
azotemia, F&E imbalances, fatigue
continues anti-rejection meds until dialysis is required