Renal Transplant

Question 1

Good prognosis

Answer 1

For many restores near normal kidney function

But limited supply organs

Question 2

Long-term advice

Answer 2

Metabolic side effects
Check body weight
5 F+V
Exercise
Low sugar, high fibre
PUFA > SFA
Monitor energy, protein, fat, CHO, K, Na

Question 3

Food safety

Answer 3

Encourage common sense
Do not consume past use by
Avoid high risk foods - raw fish, unpasteurised cheese
Discourage restaurants, take-away, buffets (1st few months)

Question 4

Short term advice

Answer 4

Watch weight
Avoid infection
Immune suppression to avoid rejection
Increased protein (steroid, surgery)
BMI <30
Dialysis diet before op

Question 5

Diet

Answer 5

Relaxation of dietary rules

Immunosuppressive drugs may impose new rules

Question 6

Immunosuppressant drugs

Answer 6

Lifelong
Side effects - weight gain, hair loss, decreased immune function

Avoid grapefruit + St Johns wort