Section 5: Infection - The Other Side of the Balance

NUR 433: Adult Health II; MCUSON; Mrs. Cooper

for the first month after transplant, the most common infections include surgical and _____-acquired wounds, central line, UTIs, and pneumonia

hospital

for the first 1-6 months after transplant, the most common infections are _____: CMV, Pneumocystis, fungi. _____: TMP-SMX (Pneumocystis), valganciclovir (CMV)

opportunistic; prophylaxis

after 6 months after a transplant, the most common infections are _____-acquired: influenza, pneumonia. Long term: skin cancer and lymphoma

community

_____ blunts fever and inflammation, so a low-grade temperature or vague symptoms can mean serious infection

immunosuppression

drug levels that point toward rejection include a _____ trough and missed doses

low

drug levels that point toward infection include recent dose increase or _____ steroids

pulse

timing that points toward rejection is first ___ months, after nonadherence

6

timing that points toward infection is in Month ___ (surgical) or 1–6 months (CMV)

1

findings that point toward rejection include _____-specific: creatinine, LFTs, FEV1

graft

findings that point toward infection include _____ change, cultures, localized source

WBC

confirmation that points toward rejection includes _____ of the graft

biopsy

confirmation that points towards infection include _____, CMV PCR, imaging

cultures

priority for infection: report either one early. Treating presumed rejection with more _____ can make an unrecognized infection much worse

steroids