Renal Transplantation, Immediate Postoperative Care
Renal Transplantation, Immediate Postoperative Care is a topic covered in the Pocket ICU Management.
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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.