Nutrition Nutrition following lung transplantation is very important to patient healing. After transplant the patient should initially focus on consuming a high protein high calorie diet to promote healing. Foods high in protein like meat, eggs and pasteurized dairy products. Lung transplantation patients are on immunosuppression therapy so they are at a greater susceptibility for infection. These patients should not eat undercooked meats like sushi and they should eat red meat well done. Raw fruits and vegetables should be washed and scrubbed, and by a person other than the transplant recipient because fungus can be inhaled and cause a lung infection. The first three months following transplantation, raw fruits and vegetables should be avoided
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The steroids that are taken for immunosuppression also can cause elevated glucose levels (). An article in Current Diabetes Reports, looked at the prevalence of diabetes mellitus in post solid organ transplant patients. The article discusses the different factors that contribute to the development of hyperglycemia that many post-transplant patients suffer frim. The article cites immunosuppressant therapy, decreased kidney function, changes in nutritional statuses due to nauseas that commonly follows transplant surgery, and other stressful incidences such as pain, infection, and surgery that can influence glucose levels. The article concludes that hyperglycemia post-transplant surgery, can predict the likelihood of the patient developing diabetes mellitus later on. The article suggests that post-surgical glucose control in these patients is essential to reduce the likelihood of developing diabetes mellitus (Boerner, Shivaswamy, Goldner, & Larsen, 2015). This article has practical application to nursing because is nurses are aware of the effects of transplantation surgery on blood glucose levels, and if they are aware of the increased risk for diabetes mellitus, then the nurse can maintain tighter glucose control and monitor glucose measures for the …show more content…
The study was a cross-over design between two groups. One group underwent CPT the first half of their day on post op day three, and they underwent HFCWO for the second half of their day. The second group of lung transplant participants underwent the same process but with HFCOW during the first half of their day and CPT the second half of their day on post-op day three. The study examined the processes impacts on dyspnea, SpO2/FiO2, and peak expiratory flow on the patients pre and post therapy. The study found that there were no clinically significant differences in dyspnea and peak expiratory flow following the procedures. SpO2/FiO2 measurements post procedure however indicate HFCWO was more effective at airway clearance and improving lung function than CPT (Esguerra-Gonzales et al., 2014). This study has implications about the potential for HFCWO as a more effective, alternative to
The steroids that are taken for immunosuppression also can cause elevated glucose levels (). An article in Current Diabetes Reports, looked at the prevalence of diabetes mellitus in post solid organ transplant patients. The article discusses the different factors that contribute to the development of hyperglycemia that many post-transplant patients suffer frim. The article cites immunosuppressant therapy, decreased kidney function, changes in nutritional statuses due to nauseas that commonly follows transplant surgery, and other stressful incidences such as pain, infection, and surgery that can influence glucose levels. The article concludes that hyperglycemia post-transplant surgery, can predict the likelihood of the patient developing diabetes mellitus later on. The article suggests that post-surgical glucose control in these patients is essential to reduce the likelihood of developing diabetes mellitus (Boerner, Shivaswamy, Goldner, & Larsen, 2015). This article has practical application to nursing because is nurses are aware of the effects of transplantation surgery on blood glucose levels, and if they are aware of the increased risk for diabetes mellitus, then the nurse can maintain tighter glucose control and monitor glucose measures for the …show more content…
The study was a cross-over design between two groups. One group underwent CPT the first half of their day on post op day three, and they underwent HFCWO for the second half of their day. The second group of lung transplant participants underwent the same process but with HFCOW during the first half of their day and CPT the second half of their day on post-op day three. The study examined the processes impacts on dyspnea, SpO2/FiO2, and peak expiratory flow on the patients pre and post therapy. The study found that there were no clinically significant differences in dyspnea and peak expiratory flow following the procedures. SpO2/FiO2 measurements post procedure however indicate HFCWO was more effective at airway clearance and improving lung function than CPT (Esguerra-Gonzales et al., 2014). This study has implications about the potential for HFCWO as a more effective, alternative to