Pre Kidney transplant

Nurses General Nursing

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Good afternoon everyone.

Hope everyone is having a great day. I have a question, other than the usual routine that is required for a Pre-kidney transplant...is there anything else we need to do for the Patient??? I am a new hire for a transplant department at hospital. And if there is any insight or suggestions or ideas. I will greatly appreciate the help.

SB

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Good afternoon everyone.

Hope everyone is having a great day. I have a question, other than the usual routine that is required for a Pre-kidney transplant...is there anything else we need to do for the Patient??? I am a new hire for a transplant department at hospital. And if there is any insight or suggestions or ideas. I will greatly appreciate the help.

SB

I'm not sure anyone here would know what your "usual routine" includes or what might be missing from it.

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Specializes in Med/Surg, Ortho, ASC.

I don't know what the "usual routine" for a kidney transplant is, so cannot speak to what else might be needed/required. Your new co-workers will likely be your best resources.

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Specializes in Geriatrics, Transplant, Education.

I am a liver/kidney transplant nurse. Do you mean someone coming in to the hospital as pre op for transplant with an organ offer for planned transplant? If you expounded a bit on what you mean, I could probably help!

Good afternoon everyone.

Hope everyone is having a great day. I have a question, other than the usual routine that is required for a Pre-kidney transplant...is there anything else we need to do for the Patient??? I am a new hire for a transplant department at hospital. And if there is any insight or suggestions or ideas. I will greatly appreciate the help.

SB

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Specializes in Nephrology, ESRD.

I work in a pediatric nephrology department. A lot depends on the patient. In 2016 we have done 5 kidney transplants. Three of them being some of my closest hemodialysis patients. I miss seeing them all the time! We make sure to ask the nephrologist if they want the patient at their dry weight, above their dry weight or below their dry weight. We have dialyzed kids right before their transplant to make sure their potassium and fluids are in order. Once the kidney is hooked up it will start to urinate right away. But if something goes wrong in the transplant you may need to have your dialysis team ready or keep them in the loop incase the transplant is not successful and they require acute dialysis. During the transplant they will be given lots of fluids which usually contain potassium. If the transplant fails you will need to get fluid and potassium off that was put on during surgery. It's an interesting area! I love kidneys!!

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Thank you, this does help, a lot. I'm sorry I was clear enough in my posting. I thank you for the help. SB

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I thank you for the quick replay. Yes, I should have been a bit more clear on my question. I didn't think it had actually posted. But maybe I should say the step by step on the preparation of the Pt, I know of the blood, kidney, Cardio test we have to have ready before sending them into surgery (the ranges and all), the medication we must administer before and for during the surgery. I'm just a little concern. I want to be sure that during my training, if I should have questions

SB

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I thank you for the quick replay. Yes, I should have been a bit more clear on my question. I didn't think it had actually posted. But maybe I should say the step by step on the preparation of the Pt, I know of the blood, kidney, Cardio test we have to have ready before sending them into surgery (the ranges and all), the medication we must administer before and for during the surgery. I'm just a little concern. I want to be sure that during my training, if I should have questions

SB

I'm still a little lost on where to help you with this. Are you going to be working on a surgical transplant floor or in a clinic? Are you talking about preparations before admission for transplant or once they are there in pre-op? I worked on a transplant floor and usually they came to us fresh post-op. On rare occasions, a patient would have a kidney come available while they were already admitted and critical. On those occasions, our main focus was using the facility's pre-op order sets, i.e. blood work, NPO, no undergarments, etc. Is that what you mean?

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Specializes in RETIRED Cath Lab/Cardiology/Radiology.

Are there protocols in place or are you setting up a brand-new program?

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