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    Kidney Transplantation: Group 9 Syazwaniyati Nurulasmira Nur Hamiza Siti Nursuhada

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    Siti Nursuhada binti Mohd Amin
    Kidney transplantation provides better long-term survival and quality of life compared to dialysis. It is the treatment of choice for end-stage renal disease in eligible patients. The document discusses the indications, contraindications, benefits, risks, and complications of kidney transplantation as well as the pre-operative and post-operative management of transplant recipients.

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    Kidney Transplantation: Group 9 Syazwaniyati Nurulasmira Nur Hamiza Siti Nursuhada

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    Siti Nursuhada binti Mohd Amin
    87 views12 pages
    Kidney transplantation provides better long-term survival and quality of life compared to dialysis. It is the treatment of choice for end-stage renal disease in eligible patients. The document discusses the indications, contraindications, benefits, risks, and complications of kidney transplantation as well as the pre-operative and post-operative management of transplant recipients.

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    Kidney transplantation provides better long-term survival and quality of life compared to dialysis. It is the treatment of choice for end-stage renal disease in eligible patients. The document discusses the indications, contraindications, benefits, risks, and complications of kidney transplantation as well as the pre-operative and post-operative management of transplant recipients.

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    Download as pptx, pdf, or txt
    87 views12 pages

    Kidney Transplantation: Group 9 Syazwaniyati Nurulasmira Nur Hamiza Siti Nursuhada

    Uploaded by

    Siti Nursuhada binti Mohd Amin
    Kidney transplantation provides better long-term survival and quality of life compared to dialysis. It is the treatment of choice for end-stage renal disease in eligible patients. The document discusses the indications, contraindications, benefits, risks, and complications of kidney transplantation as well as the pre-operative and post-operative management of transplant recipients.

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    KIDNEY

    TRANSPLANTATION
    GROUP 9
    SYAZWANIYATI
    NURULASMIRA
    NUR HAMIZA
    SITI NURSUHADA
    INTRODUCTION
    ◦ • Kidney transplant provides better long- term survival
    and improved quality of life compared to dialysis.
    ◦ • Patient survival and transplant success has been
    progressively improving over the years.
    ◦ • Kidney transplant is the treatment of choice for End
    Stage Renal Disease (ESRD) in eligible patients.
    INDICATION
    ◦ • ESRD GFR less than 15ml/L.
    ◦ • MALIGNANCY.
    ◦ • HYPERTENSION.
    ◦ • DIABETES MELLITUS.
    ◦ • GENETIC DISEASES- polycystic kidney diseases.
    ◦ • METABOLIC DISORDERS.
    ◦ • CHRONIC RENAL FAILURE (CRF).
    CONTRAINDICATIONS
    • CARDIAC , HEPATIC AND • Cystoxic antibodies against
    PULMONARY HLA antigens of donor.
    Insufficiency(severe Extrarenal • Active vasculitis or
    Disease) glomerulonephritis.
    • Concurrent Tobacco Use • Recent or metastatic
    And Morbid Obesity Puts The malignancy
    Patient At Risk For Surgery.
    • Psychiatric illness including
    • HIV.(active infection) alcoholism and drug
    • Primary oxalosis. addiction(Noncompliance)
    • ABO incompatibility.
    BENEFITS
     Significantly reduced risk of mortality.
    • Life expectancy can triple.
     Reduced risk of heart attack, stroke, heart failure.
     Reduced infection-related hospitalization.
     Improved quality of life.
     More likely to stay employed.
    RISKS
     Acute rejection or failure (less with current meds).
     Anti-rejection medication effects:
     Infection
     Some malignancies, ex/skin cancer.
     Increased risk of diabetes,
     high blood pressure, high cholesterol.
     Graft loss over time.
     Overall in eligible candidates, the benefits far outweigh the risks.
    THE KIDNEY DONOR
     Living – parents, siblings,
     Cadaver donor
    Matching Recipient & Donor
     Highly motivated.
     Excellent medical condition with normal renal
    function.
     ABO blood group-compatible.
     HLA-identical or haploidentical with negative cross-
    match.
    Common Complications of
    Transplantation
     Early complications Infectious complications
    - Surgical complications - Cytomegalovirus
    - Delayed or slow graft - BK virus
    function  Malignancy
    - Lymphocele Chronic allograft dysfunction
    Acute rejection
    - Acute cellular rejection
    - Antibody-mediated
    rejection
    Therapeutic Management
    Before surgery
    • Assess knowledge and reinforce teaching. Discuss concerns about surgery , the organ
    donor and possible complications.
    • Provide routine preoperative care
    1. Pre-op blood
    2. Imaging (CT scan, x-ray, ECG)
    3. Consent
    4. Social welfare
    5. Counselor
    After surgery

    Post Operative Diet:


     Avoid grapes pomegranate and green tea products.

    Monitor for kidney rejection .

    Complication:
    transplant rejection
    infection and sepsis
    electrolyte imbalances
    Iatragenic side effects.

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