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PHTH 564 - ICU > Organ Transplants > Flashcards

Flashcards in Organ Transplants Deck (50)
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1

Selection of recipients is if they have a _______ __-___ disease

progressive end stage

2

6 selection criteria for transplant pts ?

1. age
2. no alcohol or tabacco dependency
3. no CI's to immunosuppression
4. otherwise healthy
5. social support
6. psychological factors

3

Best transplant pt survival rate?

liver and heart

4

Worst transplant pt survival rate ?

lungs

5

4 transplant complications?

1. rejection
2. immunosuppresion
3. infection
4. graft failure

6

3 times transplants can be rejected?

1. hyper acute
2. acute
3. chronic

7

Chronic transplant rejection is most common in _____ transplants

lung

8

5 common s/s of transplant rejection?

1. pain at site
2. fever/feeling unwell
3. weight change
4. swelling
5. decreased urine output

9

Immunosuppressive drugs increase likelihood of CAD (T/F)

TRUE

10

What are 3 ways infection is avoided post transplant?

1. D/C invasive lines
2. early ambulation
3. prophylactic antibiotics

11

Early post transplant failure = high risk of ______

mortality

12

There is a constant low risk of _____ failure once pt is out of early phase

graft

13

After heart transplant, pt will have no ______ due to denervated heart

angina

14

Peak HR reaches ___% of normal post transplant

80

15

Donor ___ node determines HR

SA

16

There are 2 __ waves seen post heart transplant

2

17

The first P wave in an ECG of someone with a heart transplant is followed by a QRS complex (T/F)

FALSE

18

There is no ______ innervation to control transplanted heart, so there is a resting tachycardia

autonomic

19

Normally heart is usually more influenced by the ___ via _____ nerve

PNS; vagus

20

What is the normal resting HR post transplant ?

90-110

21

Higher HR post transplant allows normal CO despite lower ___ ____ and ______ _____ fraction

stroke volume; ventricular ejection

22

No sympathetic stimulation to denervated heart = unable to respond quickly to situations that require _____ HR or _____ contractility to maintain CO

increased x2

23

______ ______ can be problematic post heart transplant due to no sympathetic stimulation

orthostatic hypotension

24

No parasympathetic control post heart transplant = longer _____ _____ needed post exercise (to avoid big drop in CO as there is a dec in venous return)

cool down

25

Watch for _______ post heart transplant, due to ______ imbalance and irritation from surgery / handling

arrhythmias; electrolyte

26

Denervation post lung transplant causes a V-Q imbalance until recovery of _______ function occurs

autonomic

27

Decreased _______ clearance post lung transplant

mucociliary

28

Cough may be ineffective due to lack of sensation when there is irritation below _____ ______ line

tracheal suture

29

Need care post lung transplant suctioning past _____ line due to danger of _______

suture; dehiscence

30

There is abnormally thick _______ post lung transplant

mucus