Organ Transplantation (Kidney)

Key Kidney Functions

Fluids and Electrolytes

Acide Base balance

Blood pressure regulation

Erythropoetin

Kidney tranpant…how?

Remove unhealthy kidney (usually keeps one)

Replaced with donor

Kidney Failure…Why?

Diabetes

Hypertension

Glomerulonephritis

Hemolytic Uremic Syndrome (Rabdomyolosis does the same)

Kidney..Pre-op?

-Lived or deceased

-EKG, X-ray, Labs

-Dialysis patient, dialyzed very close to procedure to correct electrolyte and fluid balance

Kidney transplant…Labs?

Blood Urea Nitrogen (BUN)

BUN/Creatinine Ration

Creatinine

Glomerular Filtration

Kidney transplant….post-op??

-Fluid and electrolyte balance

-Start Immunosuppression

-Monitor for S/S rejection

Kidney transplant…S/S of rejection?

*DECREASED urinary Output

Metabolic Acidosis

Kidney transplant…..Nursing care?

-Immunosuppressant drugs

-Anti-rejection drugs

-Pulmonary toileting

-Wound care

-Fluid and electrolyte imbalances