Transplant Medication Mysteries
Heart Topics in Transplant
Don't Let the Beat Drop
Home Is Where The Heart Is
Love It Or List It
100
When administered in the PO/NG form this medication must be separated by 2 hours from oral magnesium
What is Cellcept/mycophenolate
100
Heart transplant recipients are more likely to have a higher resting heart rate, altered response to certain cardiac drugs and not experience angina as a result of this.
What is cardiac denervation (loss of nerve connection to the heart)
100
The type of cardiomyopathy displayed here:
What dilated cardiomyopathy?
100
In order for this to occur 2 caregivers must complete a 24 hour stay in which caregiver completes all aspects of care.
What is an eligibility requirement for discharge?
100
The listing status for a patient with CHD living at home on oral heart failure medications?
What is Status 2?
200
This immunosuppressive medication is typically started POD 3-4 once kidney function recovers and can be administered orally or via NG
What is Prograf/tacrolimus
200
This virus is most commonly associated with Post Transplant Lymphoproliferative Disorder (PTLD)
What is EBV?
200
Refers to a set of clinical signs and symptoms indicative of myocardial dysfunction and cardiac output that is inadequate to meet the metabolic demands of the body
What is heart failure?
200
This complication occurs when the recipient’s immune system recognizes the organ as foreign. This can be in the form of ACR, AMR of CAV.
What is rejection?
200
The heart transplant listing status of a 1 y.o. male with HLHS s/p Glenn on a Berlin Heart
What is Status 1A?
300
When inpatient this calcineurin inhibitor should be given EXACTLY at 9am and 9pm and trough levels drawn EXACTLY at 8:30am (30 minutes before medications is due)
What is tacrolimus?
300
The most likely diagnosis for a 17 year old male transplanted 3 months ago, admitted with new onset fatigue, shortness of breath, palpitations. 15-lead EKG shows atrial flutter with HR of 160 and clinical exam reveals S3 gallop
What is rejection
300
Increased WOB, exercise intolerance, poor feeding, lethargy, poor growth, mental status changes
What are symptoms of heart failure?
300
The gold standard for detecting rejection in a heart transplant recipient
What is endomyocardial biopsy (EMB)?
300
The heart transplant listing status for a 3 yo DCM patient on milrinone of 0.75 mcg/kg/min?
What is Status 1B?
400
Absolute CD3 count should be drawn following the 3rd dose of this induction medication to determine if doses 4 and 5 are required
What is Antithymocyte globulin (ATG)?
400
This type of transplant can be performed in patients less than 2 years of age due to a lack of early production of antibodies against blood group antigens
What is an ABO incompatible transplant?
400
Contact these teams in the event of a significant change in VAD performance
What is the primary team and the VAD team
400
The 3 stages of immunosuppression
What is induction, maintenance, anti-rejection
400
Following selection committee meeting we are required to notify the family if patient is accepted, declined or deferred for heart transplant within 10 days via this method of communication
What is in writing?