Kidney Transplant

How to order
BK Virus PCR
 
- under misc lab
-"BK PCR Quantitative"
-collection Lavender top tube " EDTA" 
comment- "K94819"
 
 
Power point module for clinical Transplant learning coming soon

Basic Guidelines :-

Months 0--1 1--2 2--3 3--6 >6
Cyclo mcg/L 300-350 250-300 200-250 150-200 100-150
Tacro(with MMF), ng/ml 10--13 8--12 6--9 5--8 4--7
Tacro(with sirolimus)   6--8 6--8 2.5--5
Rapamycin(no CNI, +Steroids),ng/ml early 15-20   late 10-12
 
 

Powerpoint Slides attached below (all in one)

1. HBV – HCV  in  Hepatic and Non Hepatic Transplant
2. BK Nephropathy
3. CMV
4. Management of CVD in KTx Recipients
5. Post-tx DM
6. Post-tx anemia
7. Post-tx bone disease
8. Cancer screening in tx patient
9. Post-tx lymphoproliferative disorder
10.Pregnancy and Renal Transplant
11.Pancreas Tx
12.Surgical Complications after kidney tx
 
Follow up for Transplant patients:-

1. Lipids

 

q3m

 

q6m

2. HbA1c 

q3m

 

yearly,for DM as indicated

3. PTH

 

q3m

 

q6m

4. Plasma BK DNA PCR

monthly

monthly

q5yr

5. Blood CMV DNA PCR

2wk post prophylexis stopped, q3m

as indicated

6. 24hour Protein + Creatinine

baseline

 

q1yr

7. Random U P/C ratio

q3m

 

q1yr

8. Renal Sono

baseline

 

 

9. Opth Clinic

baseline

 

q1yr

10. Vaccinations:

 

 

 

a. Influenza

 

annually

 

b. Pneumovax every 5 years

 

 

q5yr

c. Live vaccines are contraindicated

contraindicated

 

d. Other vaccinations as indicated

as indicated

 

11. Cancer screening:

 

 

 

a. Dermatology- cancer screening

 

q1yr

b. Colonoscopy >50

as per guideline

 

c. Pap & Mamo

as per guideline

 

d. PSA

as per guideline

 

 
 
 
 
--: Links for Self Education of Transplant :--
 
 
 
Core Curreculum- April, 10, 2010, AJKD
 
 
 
 
ć
EHC RENAL,
Mar 8, 2010, 12:48 PM
ć
EHC RENAL,
Mar 8, 2010, 12:46 PM
ć
EHC RENAL,
Mar 8, 2010, 12:49 PM
ć
EHC RENAL,
Mar 8, 2010, 12:50 PM
ć
EHC RENAL,
Mar 8, 2010, 12:47 PM
ć
EHC RENAL,
Feb 26, 2010, 12:32 PM
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