MEDICATIONS
DONOR
RECIPIENT
COMPLICATIONS
NURSING DX
100
The kidney recipient will be on this class of medication for the rest of his/her life.
Immunosuppressants
100
Along with live donor, this type of donor could give their kidney as a donation.
Cadaver donor
100
The nurse should monitor for these with kidney recipients post transplantation (ex.: elevated WBCs, redness, increased temperature)
Signs and symptoms of infection
100
Hyperacute, acute, and chronic are types of which complications?
Rejection
100
Related to altered immune system secondary to immunosuppressant therapy
R/F Infection
200
What type of juice should be avoided while on cyclosporines?
Grapefruit juice
200
This must be compatible to the recipient for a kidney transplantation to occur.
Blood type
200
The recipient should exhibit the following before oral intake is resumed post kidney transplantation
Bowel sounds
200
This type of medication/therapy is used to prevent rejection.
Immunosuppressants
200
Related to the long wait for a donor to become available and anticipated surgical experience
Anxiety
300
This type of medication will commonly be given to patients post kidney transplant [ex.: diflucan (Fluconazole), clotimazole (Mycelex)]
Antifungal
300
This disease would contraindicate kidney donation.
HIV
300
A continuous increase in this lab would indicate that the transplanted kidney is not functioning.
GFR
300
What condition is a major complication of cyclosporine therapy?
Infection
300
Related to permanent changes in the body due to immunosuppression
Disturbed body image
400
Glucose intolerance, problems with eyesight, and frequent GI problems are common long-term side effects of which class of medications?
Corticosteroids
400
One of the benefits of receiving an organ from a living donor is?
Less chance of organ rejection
400
This disease used to be a contraindication for being a kidney recipient.
HIV
400
Avoiding sun exposure, using sunscreens and wearing protective clothing can help prevent this complication of kidney transplant.
Basal cell carcinoma/skin cancer
400
Related to the complexity of treatment regimen
Noncompliance
500
The nurse should monitor a transplant patient for the major adverse effect of cyclosproine (Neoral, Sandimmune) therapy by assessing which lab test?
Serum creatinine
500
This type of evaluation will be done on the donor along with HCP and financial evaluation.
Psych evaluation
500
Signs and symptoms of this type of rejection include high blood pressure, fever, unusual pain at the kidney site and occurs within minutes to hours of transplant.
Hyperacute rejection
500
This is the most common viral infections in transplant patients usually occurring in the first months after transplantation. Symptoms include headaches, fatigue, aching joints, high temperature, and pneumonia.
Cytomegalovirus (CMV)
500
Related to renal insufficiency, steroid therapy or decreased cardiac output.
R/F Fluid volume excess