Kidney transplant qualifications

Specialties Urology

Published

I am not a renal nurse so please bear with me. I work in a peds cardiac intensive care unit.

On our unit we currently have a toddler who recently underwent a heart transplant. Pt had essentially been in mild renal failure for the last year d/t low cardiac output. Kidney's took a BIG hit post transplant and pt has been on CRRT for the last two months and completely anuric. Pt now has a PD cath and will be going home with that.

My question is what are the qualifications to be a transplant candidate for a kidney? Obviously they are going to wait quite a while to even consider it since the pt has had such a rough course post heart transplant but I am wondering if this pt will every be a kidney transplant candidate. Neurologically the pt is completely intact, physically the pt is quite deconditioned but very motivated and I think will thrive once home with siblings and family, the heart is good, might this patient be able to get a kidney one day?

Also at what point can a child get an adult kidney (for instance if a family member were a match)

Thanks for your input!

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