In-patient management post-transplant
- Immunosuppression - see pages 24-31
- Infection prophylaxis: see pages 32
- CMV prophylaxis: refer to the CMV protocol (see page 33).
- Blood Tests
- U&Es daily
- FBC daily
- LFTs, glucose, CRP daily
- Tacrolimus or ciclosporin level - M/W/F
- MSU each Monday and at other times if clinically indicated.
- Urinary catheter removed at day 5 unless directed by transplant surgeon.
- If a patient develops urinary retention after removal of catheter in the post-operative period it should be replaced as soon as possible. This does not need to be a surgeon if it will cause undue delay.
- A routine graft biopsy is performed around day 5 if there is delayed graft function and subsequently at weekly intervals until function is established. This is to diagnose acute rejection co-existing with ATN.
- Management of delayed graft function is outlined on page 20.
- Any deterioration in graft function may require a graft biopsy, which will be requested by a senior member of staff. See pages 21-23.
Complete the DIVA table (download sample DIVA page here)