A nurse is educating a patient on early vs late signs of heart transplant rejection. Which of the following would be described as effective teaching on late signs? SATA.
a. malaise
b. dyspnea on exertion
c. edema
d. pulmonary rales
e. distended neck veins
f. hypotension
g. fatigue
what is B, C, D, E, F
the immune suppressants __________, ___________, & ___________ are usually need in higher doses than adults
what is azathioprine, cyclosporine, & tacrolimus
signs
what is...
- jaundice
- dark urine
- itching
- abnormal LFTs: decreased albumin & total protein; elevated ALT, AST, GGT, LDH, & bilirubin
- swollen, tender abdomen
- fever = >100 F
- fatigue
1st 100 days or so after AlloHSCT; what must recover
what is CRUCIAL; immune system & blood making capacity (hematopoiesis) must recover sufficiently to prevent infection & hemorrhage
types & time
what is hyperacute (within 24 hrs), acute (within 3 to 14 days), & chronic (after many years)
diet after transplant
what is heart healthy diet
A patient is receiving prednisone. Which of the following should the nurse educate the patient on, that may occur while taking this medication? SATA.
a. hyperlipidemia
b. hirsutism
c. cataracts
d. gingival hyperplasia
e. hypotension
what is A, B, C, D
safety concern w liver rejection
what is bleeding... liver is HIGHLY vascularized
signs of rejection are those of
what is GVHD
A patient presents to the ER with a diffuse rash progressing to a blister & desquamation, jaundice, diarrhea, and mucosal inflammation of the eyes. What could the nurse suspect is occurring in the patient?
what is Graft vs Host dz
early signs are usually described as & examples
what is vague & similar to flu-like
what is fatigue, malaise, & nausea
diet
what is low sodium & high fiber
diet
what is "well-balanced w veggies & fruits & lean meats"
a. patient reporting "continuous pain & numbness"
b. depigmentation
c. temp of 97.4 F
d. skin breakdown
what is B, C.
these patients are at risk for? why?
what is infection, partaking in life-long immunosuppressive therapy
later signs are described to mimic what
what is HF
patient education
what is avoidance of contact sports & wear a medical alert necklace/bracelet
A nurse is educating a patient on ways to prevent infection from occurring in a patient who just received a liver transplant. Which intervention is a priority in this teaching session?
what is HAND WASHING duh! What is this? 1st semester?
the major cause of morbidity & mortality in 30-50% of allogeneic (from a donor other than the pt) transplant population.
what is GVHD
which medications are considered biologic response modifiers? SATA.
a. neulasta
b. pegfilgrastim
c. cyclosporine
d. filgrastim
e. prednisone
what is A, B, D; BRMs -stim (ulate) WBCs that -last-
may undergo what
what is Echo, EKG, Heart Biopsy
fear of kidney rejection & the complications of immunosuppressive therapy - these place tremendous psychological stress on the patient... list some.
what is...
- Cushing syndrome
- diabetes
- capillary fragility
- OP
- gluacoma
- cataracts
- acne
- nephrotoxicity
fever of?
what is >100 F
what is shut up ðĪŠ ;)
general signs
what is...
- â IN FUNCTIONING OF THE ORGAN TRANSPLANTED
- tenderness/pain over implantation site
- fever
- chills
- malaise
- general ill feeling
- Flu-like symptoms