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.