Renal Transplantation Flashcards
what stage of CKD indicates ESKD?
stage 5
a GFR of less than __ prompts treatment by dialysis or a transplant
10
a transplant can restore GFR to…
50
a decreased heart beating donor is also referred to as…
brainstem dead donor
what life expectancy do patients need to have to qualify for a transplant?
5 yrs
there is no survival benefit until after _ __ after a transplant
3 months
what immunological tests are done on potential recipients?
tissue typing
Ab screening
why is virology done on potential recipients?
to exclude active infection
how should cardio risk be assessed in potential recipients?
ECG, ECHO, CXR
what comorbidities should be assessed in detail?
infection cardiorespiratory depression psychosis bladder problems diabetes
contraindications to transplant?
malignancy active hep c or HIV untreated TB severe airway disease vasculitis bad PVD IHD (severe)
how is kidney function of the donor assessed
isotope GFR (should be over 80)
urinalysis for haematuria, proteinuria
BP for hypertension
which donors should have a higher GFR and why?
young females - need to go through pregnancy and live longer
a 0, 0, 0 mismatch is an ideal match T or F
T
where is the incision made in a kidney transplant?
iliac fossa incision
