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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Last updated: April 30, 2010
Citation
"Renal Transplantation, Immediate Postoperative Care." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534028/all/Renal_Transplantation_Immediate_Postoperative_Care.
Renal Transplantation, Immediate Postoperative Care. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534028/all/Renal_Transplantation_Immediate_Postoperative_Care. Accessed December 11, 2024.
Renal Transplantation, Immediate Postoperative Care. (2010). In Pocket ICU Management. PocketMedicine.com, Inc. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534028/all/Renal_Transplantation_Immediate_Postoperative_Care
Renal Transplantation, Immediate Postoperative Care [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2024 December 11]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534028/all/Renal_Transplantation_Immediate_Postoperative_Care.
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