Term
| Kidney Transplant- Contradictions |
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Definition
Infections:HIV, Hepatitis (even if only at high risk for these infections) , VRE & ORSA, Wasting ACTIVE PUD neurological disease, Severe psycho-social problems, Active Cancer |
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Term
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Definition
nonfunctioning kidney not usually removed It is a life-sustaining NOT a life SAVING tx. Size of donor kidney is not significant. |
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Term
Kidney Transplant Signs of rejection Hyperacute |
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Definition
W/in 48hrs fever, pain, tenderness over kidney transplant site, hypertension REMOVE KIDNEY ASAP |
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Term
Kidney Transplant Signs of rejection Acute |
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Definition
Occurs w/in 1week - 2 years after surgery. Symptoms= oliguria, anuria, lo grade fever, hypertension, tenderness over the traplanted kidney, lethargy AZOTEMIA (elevated BUN & serum creatinine), fluid retention, TX involves inc does of immunosuppressive drugs |
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Term
Kidney Transplant Signs of rejection Chronic |
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Definition
Chronic- gradual over months and years gradual return of azotemia, fluid retention, electrolyte imbalance & fatigue TX: conservative until dialysis recquired |
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Term
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Definition
Watch for AZOTEMIA (elevated BUN & serum creatininie) Severe electrolyte imbalance- hyper-k+ and hyper-Na- proteinura |
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Term
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Definition
Watch for UOP to be greater than 30ml/hr (5ml/kg/hr) daily wts daily urine test Oliguria-watch for UOP 100-400ml/24hr |
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Term
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Definition
Long surgery very vascular so LARGE amounts of blood loss |
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Term
Liver Transplant Complications of Transplantation |
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Definition
Acute graft rejection: LABS SHOW- elevated serum bili, ALT, AST, alk-phos, inc prothrombin time/INR Heart beats fast, fever, R. up-flank pain, dec bile pigment and volume and inc jaundice Infection: INCR immunosupressant therapy, broad spec antibiotics, early tx & diagnosis. |
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Term
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Definition
w/in 6hrs posterior wall of atria remains so that you can anchor so that you can anchor it to something. |
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