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22 Cards in this Set

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PANCREAS COMPLICATION
(DURING TRANSPLANT)
1.DECREASED URINE PH
2.DECREASED AMYLASE
3.HYPERGLYCEMIA*LATE SIGN*
POST TRANSPLANT
MEDS FOR LIFE!
COST OF MEDS=HIGH
DIARRHEA
PT CAN NOT SKIP DOSE !
HEALTH CARE FOR OTHER PROB: CALL MD
TRANSPLANT MAY NOT ALWAYS BE IN ORIGINAL SPOT
WATCH DIET-AVOID CROWDS
PROGNOSIS OF TRANSPLANTS
75 PERCENT OF RENAL HAVE REJECTION
95 PERCENT REINFECTED W/ HEP C W/IN MONTHS IF PREVIOUSLY HAD
75 PERCENT HAVE 3 YR SURVIVAL
PANCREAS-SUCCESSFUL WHEN NO LONGER NEEDS INSULIN
LUNG-ADDS 1O YRS TO LIFE W/ CYSTIC FIBROSIS
HEART COMPLICATION
(DURING TRANSPLANT)
1.DYSRYTHMIAS
2.LOW BP
3.WEAKNESS
4.S/S OF LOW CARDIAC OUTPUT
WHAT SHOULD BE ADMINISTERED DURING TRANSPLANT?
HIGH DOSES OF IV CORTICOSTEROIDS
ANTILYMPHOCYTE GLOBULIN (ATGAM)
T-CELL MONOCLONAL ANTIBODY
-SOME S/S SIMILAR TO SE OF MEDS, SO MUST THOROUGHLY ASSESS
CHRONIC REJECTION
OCCURS MONTHS TO YRS
-PROGRESSIVE LOSS OF FUNCTION
-GRADUAL
-IRREVERSIBLE
-S/S OF CHRONIC ILLNESS
PT IS USUALLY ON 1 OF THESE 3 DRUGS POST TRANSPLANT
1.CYCLOSPORINE (SANDIMMUNE,NEORAL)
2.TACROLIMUS(PROGRAF)
-CONTRAINDICATED W/ LUNG
3.MYOPHENOLATE MOFETIL (CELLCEPT)
AND PREDNISONE
PRE-OP CARE FOR DONOR
WORK UP
-TX AS MANY PROBLEMS BEFORE TRANSPLANT
IMMEDIATE POST OP CARE
ORGAN DEPENDENT
-CRITICAL CARE:
HEMODYNAMIC MONITORING,CHECK INFECTION,REJECTION,HEMORRAGE
COMPLICATIONS OF TRANSPLANTS
BLEEDING-LEAK AT ANASTOMOSIS
INFECTION-*COUGH AND DEEP BREATHE*LEADING CAUSE OF DEATH
REJECTION-PUT ON MEDS TO PREVENT T-LYMPHOCTYES FROM ATTACKING NEW ORGAN
-PUT ON IMMUNOSUPPRESSANTS*PREDNISONE*
HYPER ACUTE REJECTION
DURING TRANSPLANT
GRAFT FAILURE
MINUTES-->HRS
FOREIGN ANTIGEN
T-LYMPHOCTYES ATTACK ORGAN
ACUTE REJECTION
DURING TRANSPLANT
MOST COMMON
1 WEEK- 3 MONTHS
S/S APPEAR SUDDENLY BUT CAN STALL PROCESS W/ IMMUNOSUPPRESSANTS
-LOW GRADE FEVER
KIDNEY COMPLICATION
(DURING TRANSPLANT)
1.INCREASED CREATININE, BUN
2.DECREASED U/O
3.INCREASED BP
4.FLU-LIKE ILLNESS
5.WT GAIN-SUDDEN DEPENDENT EDEMA
LIVER COMPLICATION
(DURING TRANSPLANT)
1.RUQ TENDERNESS
2.INCREASED LFS (LIVER FCN STUDIES)
CRITERIA FOR ORGAN TRANSPLANTATION
?
BENEFITS OF ORGAN TRANSPLANTATION
-OVER 30 PARTS OF BODY CAN BE TRANSPLANTED
-COST EFFECTIVE
-IMPROVES QUALITY OF LIFE
UNOS
UNITED NETWORK FOR ORGAN SHARING
ETHICS OF ORGAN TRANSPLANTATION
ORGANS DO BETTER WHEN TAKEN OUT OF A LIVE PERSON
NSG FOR CORNEA DONOR
-INCREASE BED 30 DEGREES
-ICE PACK ON EYES
-DROPS IN EYES
RISKS TO LIVING DONOR
-RISK OF BLEEDING
-GOOD--->LIVER REGENERATES IF 1/2 TAKEN OUT
-NOT A RISK TO GIVE BONE MARROW
COMPATIBILITY DEPENDS ON
DEPENDS ON ORGAN
BLOOD TYPE A-B-O
-MUST BE SAME BLD TYPE

HLA(HUMAN LEUKOCYTE ANTIGEN TYPING)
RECIPIENT SELECTION DEPENDS ON
DEPENDS ON DISTANCE
-HOW FAST A PERSON CAN GET TO PLACE
-HEART IS ONLY GOOD FOR 4 HRS