Care of the Kidney Transplant Recipient

KDIGO guidelines for care of the kidney transplant recipient.

blockers, using adequately tested bioequivalent generics and long-term use of prednisolone. These comprehensive guidelines also identify key areas of future research highlighting the need for randomised controlled trials to determine the value of steroid avoidance, the utility of protocol biopsies, the optimal treatment of antibody-mediated rejection and interventions to improve medication adhe...

Surgical Management of the Kidney Transplant Recipient

Medical Management of the Kidney Transplant Recipient

Once a patient receives kidney transplant, critical attention should be paid to ensure patient’s hemodynamic stability, they should be monitored for any side effects of the new medications and prevent infections that may jeopardize the renal allograft and patients’ general health. Medical problems such as diabetes and hypertension that may be medical complications of transplant immunosuppressio...

Hypertension in the Pediatric Kidney Transplant Recipient

Hypertension after kidney transplant is a frequent occurrence in pediatric patients. It is a risk factor for graft loss and contributes to the significant burden of cardiovascular disease (CVD) in this population. The etiology of posttransplant hypertension is multifactorial including donor factors, recipient factors, medications, and lifestyle factors similar to those prevalent in the general ...

Primary care of the liver transplant recipient.

Chronic rejection of liver graft is an insidious process. Major immunosuppression medications such as tacrolimus, cyclosporin, and sirolimus have dose-related toxicity and narrow therapeutic windows. Certain drugs can affect metabolism of calcineurin inhibitors. Primary care physicians should be vigilant for any unusual opportunistic infection in liver transplant recipients. The quality of life...