skip to content


Full history and examination

Particular points of note:

a)  History         

  •  Cause of renal failure
  • Dialysis
    • type, when commenced, time of last dialysis –normal target or dry weight
    • access and any related problems
  • Volume of urine output + history of past/present, urinary tract problems
  • Infections -any recent urinary, CAPD peritonitis/exit site/access related
  • Other operations
  • Ischaemic heart disease
  • Peripheral vascular disease
  • Previous renal transplants, timing and cause of failure
  • Recipient blood group, tissue typing and virology (CMV, EBV, HIV, Hep B & C) must be recorded in the notes.
  • Donor details should also be included in recipient clerking - age, cause of death, blood group, tissue typing, virology and ischaemic time. The transplant coordinator will provide this information.

NOTE: Donor confidentiality must be maintained at all times.

b)  Examination - a full physical examination of the patient must be performed and should include:

  • assessment of fluid status: supine and erect blood pressure recordings, detailed assessment of JVP and peripheries
  • peripheral pulses
  • abdominal scars/hernias
  • presence of failed transplant / previous transplant nephrectomy

 

 

Licensed under a Creative Commons LicenseCreative Commons Attribution 4.0 International License.

K  

This page last modified 30.09.2013 10:23 by Emma Farrell. edren and edrep are produced by the Renal Unit at the Royal Infirmary of Edinburgh and the University of Edinburgh. CAUTIONS and Contact us.