Flashcards in Organ Transplants Deck (50)
Selection of recipients is if they have a _______ __-___ disease
progressive end stage
6 selection criteria for transplant pts ?
2. no alcohol or tabacco dependency
3. no CI's to immunosuppression
4. otherwise healthy
5. social support
6. psychological factors
Best transplant pt survival rate?
liver and heart
Worst transplant pt survival rate ?
4 transplant complications?
4. graft failure
3 times transplants can be rejected?
1. hyper acute
Chronic transplant rejection is most common in _____ transplants
5 common s/s of transplant rejection?
1. pain at site
2. fever/feeling unwell
3. weight change
5. decreased urine output
Immunosuppressive drugs increase likelihood of CAD (T/F)
What are 3 ways infection is avoided post transplant?
1. D/C invasive lines
2. early ambulation
3. prophylactic antibiotics
Early post transplant failure = high risk of ______
There is a constant low risk of _____ failure once pt is out of early phase
After heart transplant, pt will have no ______ due to denervated heart
Peak HR reaches ___% of normal post transplant
Donor ___ node determines HR
There are 2 __ waves seen post heart transplant
The first P wave in an ECG of someone with a heart transplant is followed by a QRS complex (T/F)
There is no ______ innervation to control transplanted heart, so there is a resting tachycardia
Normally heart is usually more influenced by the ___ via _____ nerve
What is the normal resting HR post transplant ?
Higher HR post transplant allows normal CO despite lower ___ ____ and ______ _____ fraction
stroke volume; ventricular ejection
No sympathetic stimulation to denervated heart = unable to respond quickly to situations that require _____ HR or _____ contractility to maintain CO
______ ______ can be problematic post heart transplant due to no sympathetic stimulation
No parasympathetic control post heart transplant = longer _____ _____ needed post exercise (to avoid big drop in CO as there is a dec in venous return)
Watch for _______ post heart transplant, due to ______ imbalance and irritation from surgery / handling
Denervation post lung transplant causes a V-Q imbalance until recovery of _______ function occurs
Decreased _______ clearance post lung transplant
Cough may be ineffective due to lack of sensation when there is irritation below _____ ______ line
Need care post lung transplant suctioning past _____ line due to danger of _______