About
Diseased or impaired kidney surgically removed and replaced with a donor kidney.
Assess
Urine output hourly, bloody initially, BUN, Creatinine, Electrolytes, Incision, VS, fluid volume status
Complications
Rejection- may need to increase immunosuppressant therapies; tubular necrosis- may need dialysis for some time; thrombosis- immediate surgery to save graft; renal artery stenosis- surgical repair or nephrectomy; infections
Diagnosis
Ineffective protection related to immunosuppressant therapies
Goals
- The client will identify the types, rationale for, and side effects of prescribed immunosuppressive therapies.
- The client will understand pre-, intra-, and post-operative instructions.
- The client will be able to eliminate sufficient quantities of urine.
Interventions
- Monitor for s/s of rejection.
- Monitor urine output, including color, quantity, clarity, and daily urinalysis.
- 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 htn, pulmonary edema, arrhythmias every two hours minimally.
- Monitor fluid balance, including frequent auscultation of lung sounds for signs of pulmonary edema.
- Provide catheter care.
- 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