신장이식 간호

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이식간호를 위한 프로토콜입니다

목차

* Recipient evaluation & preparation
수술전　２일（－Two day) Order
수술전　１일（-One day) Order
신장이식후　당일（POD #0) order
신장이식후　１일째　order
신장이식후２일째 order
신장이식후 3일째 order
신장이식후４일째 order
신장이식후5일째 order
<Immunosuppressive Resigimen for Living Relating Kidney Transplantation>

본문내용

신장이식예정자（Recipient):
* Recipient evaluation & preparation
1. standard medical work up (보통 내과에서 full w/o 후 Pre op 2일전 transfer)
2. CMV Ab titer, serology for syphilis, HIV, HBV, HCV
3. parathyroid status
4. coagulation profiles
5. Pap smear
6. ABO, histocompatibiliy typing
7. urologic evaluation(VCUG) - bladder capacity 와 VURI 확인
8. GI evaluation(ulcer, diverticulitis, other Sx)
9. Psychiatric evaluation
10. cardiologic evaluation (cause of posttransplantation mortality)
11. Careful attention most be given to eradication of all infections(urinary tract, lung, teeth, skin)

수술전２일（－Two day) Order
1. 면담후환자면회금지（isolation)
2. Check vital sign qid
3. Clear liquid diet
4. Check body weight at 6AM
5. P.O medication
CFDX 2.0g(4T) # Qid (1T Q)
CIPOL or SANDI 5 mg/Kg (실제용량： mg 8PM)
PD 0.5mg/Kg # Bid（실제용량： mg 4PM, mg 10PM)
ALMAFPK 2P # Bid로 (ALMAFPK 1B ) (PDL 복용후30-분후에 복용하세요）
７．Request (Sampling 은７AM에）
CBC with D/C
Electoro
LFT 15종
T-cell subset(T3, T4, T8, T4/T8 ratio) C5120R

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