Post-Transplant Flashcards
(21 cards)
Post-transplant discharge education should include instructions pertaining to infection control including…
- hand washing
- hand sanitizing
Post-transplant discharge education should include instructions pertaining to water including…
drinking clean water (bottled water preferred)
Post-transplant discharge education should include instructions pertaining to sun exposure including…
wearing sunscreen and the danger of skin cancer
Post-transplant discharge education should include instructions pertaining to medication contraindications including…
pregnancy
Post-transplant discharge education should include instructions pertaining to risks associated with some pets including…
cat litter and birds
Post-transplant discharge education should include instructions pertaining to gardening including…
potential toxins in the soil
Post-transplant discharge education should include instructions pertaining to medication interactions including…
4 items
- over the counter medications
- herbal supplements
- food to drug interactions
- drug to drug interactions
Post-transplant discharge education should include instructions pertaining to the general signs and symptoms of rejections across all organs including…
6 items
- edema
- vomiting and diarrhea
- fatigue
- low grade fever
- sudden weight gain
- medication noncompliance
In ALL situations where rejection is suspected, the next step is to obtain what?
A biopsy
What is the most common cardiovascular complication in solid organ transplant patients?
HTN
The introduction of what causes a high prevalance of cardiovascular complications in heart and renal transplant patients?
A. cyclosporine
B. tacrolimus
C. steroids
D. All of the above
D
Antihypertensives (calcium-channel blockers - amlodipine) can interfere with what?
cyclosporine and tacrolimus levels
What are the manifestations of Metabolic Syndrome?
5 items
- obesity
- High BP
- High triglycerides
- Low LDL
- Insulin resistance
DM typically occurs within – month(s) post transplant or when – are augmented to treat rejection?
A. 1, immunosuppresants
B. 3, steroids
C. 3, antihypertensives
D. 6, statins
B
Obesity causes an increased risk for what regarding graft function?
Delayed graft function
What is the most common type of malignancy post transplant?
skin cancer
What is a basal cell characterized by?
2 items
- depressed centers
- rolled borders
What is a squamous cell characterized by?
5 items
- asymmetry
- uneven borders
- multiple colors
- larger than 1/4 inch
- change in size, shape
Renal insufficiency includes what lab findings?
- high creatinine
- high potassium
- high sodium (low secretion)
What are the normal scores for a Dexa scan?
- -1.0 or above = normal
- between -1.0 and -2.5 = low or osteopenia
- -2.5 or lower = osteoporosis
What is the treatment for osteoporosis?
4 items
- withdrawal of steroids
- calcium and Vit D supplements
- hormone replacement therapy
- Biphosphonates: alendronate/etidronate
