Renal Transplantation

Question 1

What are the advantages of a renal transplant?

Answer 1

Near normal lifestyle

Better mortality/morbidity

Question 2

What are the disadvantages of renal transplant?

Answer 2

Lots of criteria to meet in order to safely undergo operation
Compliance with medication lifelong
Infection risk (due to immunosuppression)
Malignancy risk
Rejection risk
Long waiting times

Question 3

In what pts would you not offer RRT?

Answer 3

Age >80
OR
WHO performance score 3+

In these pt there is no survival benefit

Question 4

What are the contraindications for a kidney transplant?

Answer 4

Active infection or malignancy
Severe heart disease not suitable for correction
Severe lung disease
Reversible renal disease
Uncontrolled substance abuse, psychiatric illness
On-going tx non-adherence
Short life expectancy

Question 5

What immunosupressive drugs are given during renal transplant?

Answer 5

Methylprednisolone in combo with any of the following:

Basiliximab, thyroglobulin