transplants

Question 1

are organs expensive

Answer 1

yes.

Question 2

what are some contraindications to transplant

Answer 2

• active systemic infection
• malignant disease
• active peptic ulcer disease
• active abuse of alcohol or other substances
• severe damage to other oragn system
• severe psychiatric disease
• demonstrated noncompliance
• lack of support system
• lack of financial resources

Question 3

whats some criteria for receiving transplant

Answer 3

-notify local organ procurement organization (OPO)
- urgency
- blood type
- recipient weight and height
- stability

Question 4

describe the donation process

Answer 4

• documentation of brain death and fam consent
• goal of donor management
• common probs: hypotension, shock, electrolyte imbalances, DIC, loss of thermoregulation

Question 5

describe the ideal donor

Answer 5

• brain death
• otherwise healthy and infection free

Question 6

describe living donor transplant

Answer 6

• kidney or liver
• need to comparable (similar antibodies) - usually fam best match
• support groups for donor/patient
• some insurance coverage

Question 7

is the time of viability the same for every organ?

Answer 7

nope

kidneys and livers last longer

Question 8

describe nursing care for post op transplant recipients

Answer 8

• recognition of life threatening clinical probs
• preventing complications
• promoting return to normal activities
• recognition of the body’s natural defense system -> its not gonna like that new guy that just moved in

Question 9

describe immunnosuppression

Answer 9

• goal of immunosuppressive agents after transplant is to turn down the immune system
• keep drug in therapeutic range -> take it at the same time
• probs need combo meds
• tacrolimus (prograf) is the most common

Question 10

there are three types of rejection, what are they

Answer 10

• hyper-acute rejection: not common, as soon as it gets in there it gets fucked up
• acute rejection: 1-3mo after transplant
• chronic rejection: med noncompliance, damage over the years

Question 11

what are some signs and symptoms of graft rejection

Answer 11

• fever
• graft tenderness
• fatigue
• abnormal labs (depends on organ)

Question 12

describe infection r/t transplant recipients

Answer 12

• morbidity and mortality
• nosocomial infections
• opportunistic infections 1-6mo after
• common infections can be fatal

Question 13

describe malignancy r/t transplant recipients

Answer 13

• caused by the immuno-deficient state
• types - blood CA
• treament options - wish I could tell you some but I have no notes for it

screened after transplant for development of cancer