URINE GOOD HANDS
Defined as a recipient requiring dialysis after kidney transplant
What is delayed graft function?
Biliary anastomosis often requiring prolonged NGT placement, followed by UGI before diet advancement
What is a choledochoduodenostomy?
Steroid taper for a patient with an immune-mediated cause of their kidney disease
What is Rapid to 5 (vs. continued steroids if receiving Simulect induction)
A virus that often presents itself in the form of GI symptoms, with laboratory evaluation significant for leukopenia predominately
What is CMV?
MUST RULE-OUT DIFFERENTIAL for poorly controlled blood sugars in an SPK recipient
What is thrombosis?
Each post-op kidney gets this type of fluid resuscitation
What are the 1:1 fluid replacements?
Yellow/green/brown colored JP drain output drain bilirubin > serum bilirubin
What is a bile leak?
A non-lymphocyte depleting immunosuppressant used in kidney recipients > 65 y/o, with a hx of cancer, or who are an EBV MM, OR in Liver patients in effort to delay initiation of FK.
What is Simulect?
Virus that may occur simultaneously with ureteral stricture
What is BK virus?
Pain management system used in SPK recipients
What is a PCA?
High cPRA and historic DSA's
What are risk factors for rejection?
A diagnostic and therapeutic intervention for cholestasis due to stone/sludge or stricture
What is an ERCP?
Medication dosed twice daily x2 days, then repeated 2 weeks later for strongy positivity
What is Ivermectin?
Angioinvasive fungal infection most often presenting in the form of sinusitis or pneumoniae
What is Mucormycosis?
Dirty dishwater quality to JP drain output
What is a classic finding in pancreatic leak?
Defined as blood beneath the capsule of the kidney, exerting mass effect on the allograft
What is a Page kidney?
In a liver transplant recipient, what is an effective strategy to mobilize extravascular fluid?
What is concentrated albumin, "chased" with lasix.
An echinocandin that covers for many fungal species, but NOT coccidiomycosis?
What is micafungin?
Diagnostic modality that can better evaluate for prostatitis/prostatic abscesses, particularly in males with recurrent UTI's.
What is an MRI pelvis?
Often a barrier to diet progression in SPK recipients, secondary to autonomic dysregulation, and treated with pro-motility agents.
What is gastroparesis?
LDH, haptoglobin, and smear
What are the labs ordered to diagnose thrombotic microangiopathy (TMA)? Bonus points if you know the treatment :)
Hyperbilirubinemia/transaminitis, lactic acidosis, hypoglycemia, rising INR, severe encephalopathy/unable to wean from ventilator
What are lab values/findings associated with primary non-function?
Typical prophylactic medication dosing for a patient on hemodialysis after transplant AND alternative anti-bacterial prophylaxis options
What is...
Fluconazole 100mg MWF
Valcyte 450mg MWF or Acyclovir 400 QD
Bactrim 400-80mg MWF
AND
Dapsone, Atovaquone, Pentamidine
When used in combination, they act as broad-spectrum meningitis coverage
What are acyclovir, cefepime/ceftriaxone, vancomycin, and ampicillin? (Cover for HSV, H influenzae/N meningitidis, S pneumoniae, and Listeria, respectively)
One option for pancreatic leak treatment, given subcutaneously, with depot options available long-term in the AIC.
What is octreotide?