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22 Cards in this Set
- Front
- Back
PANCREAS COMPLICATION
(DURING TRANSPLANT) |
1.DECREASED URINE PH
2.DECREASED AMYLASE 3.HYPERGLYCEMIA*LATE SIGN* |
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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 |
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PROGNOSIS OF TRANSPLANTS
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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 |
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HEART COMPLICATION
(DURING TRANSPLANT) |
1.DYSRYTHMIAS
2.LOW BP 3.WEAKNESS 4.S/S OF LOW CARDIAC OUTPUT |
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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 |
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CHRONIC REJECTION
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OCCURS MONTHS TO YRS
-PROGRESSIVE LOSS OF FUNCTION -GRADUAL -IRREVERSIBLE -S/S OF CHRONIC ILLNESS |
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PT IS USUALLY ON 1 OF THESE 3 DRUGS POST TRANSPLANT
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1.CYCLOSPORINE (SANDIMMUNE,NEORAL)
2.TACROLIMUS(PROGRAF) -CONTRAINDICATED W/ LUNG 3.MYOPHENOLATE MOFETIL (CELLCEPT) AND PREDNISONE |
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PRE-OP CARE FOR DONOR
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WORK UP
-TX AS MANY PROBLEMS BEFORE TRANSPLANT |
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IMMEDIATE POST OP CARE
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ORGAN DEPENDENT
-CRITICAL CARE: HEMODYNAMIC MONITORING,CHECK INFECTION,REJECTION,HEMORRAGE |
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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* |
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HYPER ACUTE REJECTION
DURING TRANSPLANT |
GRAFT FAILURE
MINUTES-->HRS FOREIGN ANTIGEN T-LYMPHOCTYES ATTACK ORGAN |
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ACUTE REJECTION
DURING TRANSPLANT |
MOST COMMON
1 WEEK- 3 MONTHS S/S APPEAR SUDDENLY BUT CAN STALL PROCESS W/ IMMUNOSUPPRESSANTS -LOW GRADE FEVER |
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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 |
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LIVER COMPLICATION
(DURING TRANSPLANT) |
1.RUQ TENDERNESS
2.INCREASED LFS (LIVER FCN STUDIES) |
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CRITERIA FOR ORGAN TRANSPLANTATION
|
?
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BENEFITS OF ORGAN TRANSPLANTATION
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-OVER 30 PARTS OF BODY CAN BE TRANSPLANTED
-COST EFFECTIVE -IMPROVES QUALITY OF LIFE |
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UNOS
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UNITED NETWORK FOR ORGAN SHARING
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ETHICS OF ORGAN TRANSPLANTATION
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ORGANS DO BETTER WHEN TAKEN OUT OF A LIVE PERSON
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NSG FOR CORNEA DONOR
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-INCREASE BED 30 DEGREES
-ICE PACK ON EYES -DROPS IN EYES |
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RISKS TO LIVING DONOR
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-RISK OF BLEEDING
-GOOD--->LIVER REGENERATES IF 1/2 TAKEN OUT -NOT A RISK TO GIVE BONE MARROW |
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COMPATIBILITY DEPENDS ON
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DEPENDS ON ORGAN
BLOOD TYPE A-B-O -MUST BE SAME BLD TYPE HLA(HUMAN LEUKOCYTE ANTIGEN TYPING) |
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RECIPIENT SELECTION DEPENDS ON
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DEPENDS ON DISTANCE
-HOW FAST A PERSON CAN GET TO PLACE -HEART IS ONLY GOOD FOR 4 HRS |