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Discharged after kidney transplantation, from the doctors, nurses closely monitor all rely on the self-observation. usually after 3-6 months are critical, affect the long-term survival of kidney transplantation is the future and destiny of the whole key stage. On one hand, you are taking a larger dose of transplantation immunity, low resistance and susceptibility; In addition, a strong immune response time. prone to acute rejection, which often lead to acute rejection after recently to chronic rejection. affect long-term graft survival. So tight was discharged after observation, self-care, take medication regularly review is very important.
(A) As a general observation records
1, weight : daily record, the best in the breakfast, After 89.
2, urine and nocturia : urine volume were recorded during the day and the 24-hour record total urine.
3, the best daily temperature records : 2 (morning get up and lie-down.)
4, the date of testing has made detailed findings : extract.
5, the type and dosage of medication record : major immunosuppressive drugs and drug usage increases and decreases.
(B) Timing was prescribed medication, the drug should not be changed to reduce drug-induced exclusion or avoid lead poisoning.
(3) to observe the rejection signal to the attention of any of the following situations : whether there has been a rejection, and also with a doctor.
1, the temperature rise above 38 กใ C (4-5 o'clock in the morning the temperature rose more).
2, decreased urine output, or more than one kilogram of body weight per day increased 2 kilograms a week increase.
3, District transplanted kidney swelling, pain, tenderness or extension of lower limb pain felt traction.
4, high blood pressure above 30 mmHg.
5, of unknown causes weak, swelling, headaches, loss of appetite, pain, tachycardia, emotional instability, irritability, etc..
6, serum creatinine, blood urea nitrogen increased. .
This article was posted on 2007-02-27
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