transplants (4)

Question 1

what are contraindications to transplants

Answer 1

-active systemic infection
-malignant disease
-PUD
-alcohol or substance use
-psychiatric disease
-lack of support system
-lack of finances

Question 2

what is needed for an organ donor to donate

Answer 2

documentation of brain death and family consent

Question 3

what are problems during the organ donation process

Answer 3

-hypotension
-shock
-electrolyte imbalance
-loss of thermoregulation

Question 4

what is the ideal organ donor

Answer 4

-brain death
-otherwise healthy and infection-free

Question 5

which organs can be done with a living donor

Answer 5

kidney or liver

Question 6

do living donations use insurance

Answer 6

some

Question 7

how long is a kidney viable?

Answer 7

48-72 hr

Question 8

how long is a heart viable?

Answer 8

4-5

Question 9

how long is a lung viable?

Answer 9

4-6 hr

Question 10

how long is a liver viable?

Answer 10

24-30 hr

Question 11

how long is a pancreas viable?

Answer 11

24 hr

Question 12

what is the goal of immune suppression in transplantation

Answer 12

keep drugs in therapeutic range

Question 13

what type of rejection is an immediate blood rejection

Answer 13

hyper-acute rejection

Question 14

what kind of rejection is 1-3 mo. after transplant, immune attack

Answer 14

acute rejection

Question 15

what kind of rejection is slow/painful, takes a while, and is with med noncompliance

Answer 15

chronic rejection

Question 16

what are s/sx of rejection

Answer 16

-fever
-graft tenderness
-fatigue
-abnormal labs

Question 17

what can be caused by the immuno-deficient state after transplantation

Answer 17

malignancy