II. Complications
-
Renal Failure
- Primary disease that resulted in original Renal Failure may still be active and result in recurrent Renal Failure
- Even small changes (esp. children) can be significant (consult transplant team)
-
Urinary Tract Infections
- Common in both men and women
- Admit all suspected Pyelonephritis cases on IV Antibiotics
- Nephrotoxicity
- Avoid all Nephrotoxins
- Immunosuppressants (esp. Calcineurin Inhibitors) are nephrototoxic
- Compounded by Drug Interactions (review new medications with pharmacist or transplant team)
-
Transplant Rejection
- Consult transplant team before initiating Corticosteroids
III. References
- Claudius, Ruttan and DeFabio (2022) EM:Rap 22(11): 13-5