Anesthesia Central: Renal Transplantation, Immediate Postoperative Care

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.

Renal Transplantation, Immediate Postoperative Care has been found in Pocket ICU Management

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