transplant 1 Flashcards

1
Q

define autograft

A

A transplant of tissue from one to oneself

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2
Q

define isograft

A

organs or tissues are transplanted from a donor to a genetically identical recipient (identical twins)

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3
Q

define xenograft

A

A transplant of organs or tissue from one species to another

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4
Q

define allograft

A

transplanted organ or tissue from a genetically non-identical member of the same species

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5
Q

What is the federal regulatory body that ensures the success and efficiency of the U.S. transplantation system

A

Organ Procurement and Transplantation Network (OPTN)

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6
Q

OPTN develops polices governing what specific things?

A
  1. Organ recovery, matching, distribution and transportation
  2. Collecting and managing scientific data about organ donation and transplantation
  3. National organ waiting list database
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7
Q

What is the non-profit, scientific and educational organization that carries out OPTN regulations concerning organ transplant

A

United Network for Organ Sharing (UNOS)

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8
Q

what are some of the responsibilities of UNOS

A
  1. collect data about every transplant event occurring in the United States
  2. facilitate the organ matching and placement process
  3. bring together medical professionals, transplant recipients and donor families to develop organ transplantation policy
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9
Q

what are types of organs that patients are able to receive transplants for

A
  1. kidney
  2. liver
  3. pancreas
  4. heart
  5. small bowel
  6. lung
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10
Q

what types of organs are translpantend from living donors

A
  1. kidney
  2. liver
  3. pancreas
  4. small bowel (rare)
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11
Q

what are the indications for a kidney transplant

A
  1. Diabetic nephropathy
  2. Hypertension
  3. Glomerulonephritis
  4. Polycystic kidney disease
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12
Q

what are the indications for a liver transplant

A
  1. Alcoholic liver disease
  2. Hepatitis B & C (in the U.S.)
  3. Hepatic tumors
  4. Metabolic disorders
  5. Cryptogenic cirrhosis
  6. Polycystic liver disease
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13
Q

what are the indications for a pancreas transplant

A
  1. diabetes

2. pancreatic tumor

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14
Q

what are the indications for a heart transplant

A
  1. Cardiomyopathy
  2. Coronary artery disease
  3. Congenital disease
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15
Q

what are the indications for a small bowel transplant

A

small bowel syndrome

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16
Q

what are the indications for a lung transplant

A
  1. Cystic fibrosis
  2. Idiopathic pulmonary fibrosis
  3. Primary pulmonary hypertension
  4. COPD/emphysema
17
Q

what are the absolute contraindications to organ donation

A
  1. Chronic renal disease (kidney only?)
  2. Age > 70
  3. Potentially metastasizing malignancy
  4. Severe hypertension
  5. Untreated bacterial sepsis
  6. Current IV drug abuse
  7. Hepatitis B surface antigen positive•HIV positive
  8. Prolonged warm ischemia (down time)
18
Q

What are the general recipient contraindications for transplants

A
  1. Obesity (BMI > 35)
  2. Uncontrolled infection
  3. Malignancy (must be cancer free for two years)
  4. Continued substance abuse
  5. Poor family/social support
  6. Uncontrolled psychiatric disorder
  7. Medical noncompliance