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NurseFaith
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Act of transferring cells, tissues, or organs from one site to another
Organ Transplantation
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Current organ transplant programs:
- UNOS (united network for organ sharing)
- DonorNet
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Things taken into consideration for organ transplants:
- Age
- Pulmonary Status
- Severity of illness
- Inpatient/Outpatient status
- Comorbidities
- Psychosocial status
- Infection
- Hx of other transplants
- Adherence to regimen
- Overall health status
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Organ transplantation requires ___ screening
- Interdisciplinary:
- -MD
- -PT
- -Nurse
- -Dietician
- -Pharmacist
- -Case worker
- -Social Worker
(involved BEFORE and AFTER transplant)
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A heart can be kept outside the body:
4-6 hours
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A liver can be kept outside of the body ___
12-24 hours
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A kidney can be kept outside of the body ____
48-72 hours
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The Physiological Work up before organ transplant consists of:
- Chest radiograph
- Urinalysis
- Colonscopy
- Pulmonary Function Test
- Prostate specific antigen
- Mammography
- Pap Smear
Human leukocyte antigen
Cytomegalovirus
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Donation sources:
- Living
- Brain Death (DBD)
- Cardiac Death (DCD)
- Autologous
- Cadaver
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Post Op nursing care for organ transplant:
Labs (monifor prograf level, CRP, Electrolytes, Hematology, BG)
Spirometry
Physical Activity
IV fluid
I/O
Drain Output
Incision (sutures/stitches)
Temp, HR, RR, BP, Sats
- Medications: (TIMING!!!!)
- -antibiotics
- -venous thromboembolism prophylaxis
- -peptic ulcer prophylaxis
- -analgesics (oral/IV)
- -laxative
- -insulin
- -incentive spirometry
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Post Op Complications:
Accelerated atherosclerosis of coronary arteries
HTN from medications
Hyperplasia of coronary artery intima
Lymphoproliferative disease
Osteoporosis
Wt gain, Obesity, Dyslipidemia
Renal failure
Toxicity
GI disturbance
Hypotension
Malignancy
DVT
Paralytic ilius
BLEEDING!!!!
Lymphocele
Scar tissue development
Bronchiolitis Obliterans Syndrome
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