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31 Cards in this Set
- Front
- Back
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Most common transplant
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Kidneys
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Who needs a liver transplant?
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Cirrhosis
Hep B, C ESLD cancer/tumors hereditary biliary atresia |
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What is biliary atresia?
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bile duct doesn't form properly in children
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Liver transplant options
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orthotopic
heterotopic split liver |
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Immunosuppressive drugs for liver transplant
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steriods (prednisone)
cyclosporine prograf |
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Post-liver transplant complications
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rejection
infection GVHD PTLD |
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What is correlated with longer and less efficient rehab in liver transplant pts?
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low albumin and long acute care stay
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Most common fracture sites in liver transplant pts?
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spine and hips
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Dysfunctional glycogen storage and gluconeogenesis in ESLD results in what?
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breakdown of muscle for energy
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Ascites can cause what in liver transplant pts?
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dyspnea with activity
altered CoG, decreased balance increased lordosis and LBP |
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What are you concerned about in infants with liver transplants?
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psychomotor development
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Who needs a heart transplant?
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CAD
dilated cardiomyopathy congenital defects |
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Pre-heart transplant treatment?
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LVAD (left ventricular assist device)
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LVAD does what?
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help to increase contractile force of the heart
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2 types of heart transplants
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orthotopic
heterotopic (piggy back) |
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Post-heart transplant treatments
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drugs that cause dilation of vascular system and increase heart rate
anti-rejections meds healthy low-fat diet |
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What does the heart transplant pt rely on to increase rate and force of contractions?
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circulating catecholamines
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How can MIs manifest post-heart transplant?
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atrial/ventrical arrythmias
dyspnea lightheadedness increased RPE |
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Why is the post-heart transplant pt's HR higher than normal?
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absense of vagal tone (CN X cut)
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Sternal precaution post-heart transplant
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avoid push, pull, or lifting >10lbs for 2 months
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Frequent causes of ESRD in adults
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primary uncontrolled HTN
glomerulonephritis |
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Chronic kidney disease causes in children
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birth defects of kidneys/urinary tract
genetic acquired d/t immune system abnormalities |
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Chronic kidney disease is what level of functioning?
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less than 75%
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Dialysis is needed at what level of functioning?
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less than 15%
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Contraindications to renal transplantation
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advanced cardiopulm disease
active vasculitis morbid obesity |
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Where is the new kidney placed?
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extraperitoneally in the iliac fossa
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Use corticosteriods to...
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reverse early rejection
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Use cyclosporine to...
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prevent acute rejection
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Bone disease differences with kidney transplants
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osteodystrophy
fractures in legs/feet |
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Transplant kidneys wear out in about...
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10-14 years
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How do kidney transplant pts respond to exercise?
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with higher than normal BP
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