About
Either partial or full liver transplanted from one donor to another recipient via surgery.
Assess
VS, wound, Alk phos, Bilirubin, drainage characteristics, urine output; assess pain
Complications
- Acute Graft rejection- immunosuppressive therapy increased, s/s include tachy, fever, jaundice, changes in biliary drainage, elevated bilirubin, alk phosphatase.
- Infection- fever, foul smelling drainage from incision, t-tube, urine.
- Abscess; acute renal failure
- Transplant rejection; infection
Diagnosis
Ineffective protection related to induced immunosuppression
Decisional conflict related to acceptance of a donor liver
Goals
The client will be free from infection.
The client will be free from s/s indicating rejection of new organ.
Interventions
- Monitor for s/s of rejection.
- Monitor VS post-operatively every 15 minutes X 2, every 30 minutes X 2, every hour X 2, than every four hours ( may have different guidelines for each clinical agency).
- Monitor for complications associated with non-functioning liver ( bleeding, encephalopathy, etc).
- Monitor for s/s of infection and peritonitis ( abdomen rigidity, pain, and distention).
- Administer immunosuppressive medications as ordered.
- Teach client about medication regimen, including when to take, how often, potential side-effects, reasons to seek additional medical attention.
- Monitor for signs/ symptoms of complications.
ليست هناك تعليقات:
إرسال تعليق