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Renal Transplantation, Immediate Postoperative Care

First Things First (assess and treat for the following)

  • Hemodynamic and respiratory management
  • Transfer living donor or recipient to monitored setting.
  • Assess ETT placement and attempt early extubation if not already done in PACU.
  • Follow BP, pulse, respiration, temperature, urine output q1h for 6 hours then q8h if stable, weight q am.
  • CBC, glucose, electrolytes, BUN, creatinine, albumin, calcium, phosphorus and magnesium immediately postop and q am
  • Do not give K boluses to patients in ATN. Beware of rapidly rising K after surgery in ATN/anuria.
  • Urine output hourly as long as patient on urine replacement, thereafter q4h. Urine catheter out postop day 4.
  • B&O suppositories q4h prn for bladder spasms
  • Continue TED hose and compression stockings until patient is mobile.

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