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Renal Transplant

2022 Transplant Competency
Horizontales
This must be performed at least 3x/day
When this is out, pants can be put on
Organization that coordinates the donation of organs (2 words)
The fluid replacement/urine output ratio
Solid organ transplant recipients have a four-fold increased incidence of developing this vs. the general population
Strict monitoring of this is required every two hours (2 words)
Medications given to prevent rejection of donated kidney
Kidney received from receipt who is not deceased (2 words)
S/S include sudden anuria, HTN that is difficult to control, increased HCT, cloudy urine, gross hematuria (3 words)
One of the risks of transplant surgery caused by a collection of fluid in non-epithelialized cavity in the post-op field
The first dose of these medications are given in the OR to reduce the immune response to the new kidney
Many post op transplant patients are resistant to doing this given their history of being on dialysis (2 words)
S/S include decreased urine output, weight gain, elevated BUN/CR, proteinuria, hematuria
Verticales
A rare complication caused by pre or post op organ hypoperfusion (Abbreviation)
Development of this requires immediate attention by the RN and Transplant Surgeon
This must be checked after patient voids to prevent the bladder-ureteral anastomosis
Thin, flexible tube placed in ureter for 6 weeks post-op to maintain connection between kidney and bladder
This IV medication may be used post-transplant to improve renal perfusion
Educates patients about the impact of a transplant on daily life (2 words)
Procedure in which a kidney is removed
This is easier to treat if it is recognized early
This must be checked every 4 hours (2 words)
This is a primary responsibility of the RN and Care Coordinator, to insure a safe discharge home
Deliveries of these items are not allowed for patients post-transplant
This must be recorded every morning