TYK301

Regarding the immediate postoperative course from a renal transplant, which of the following is NOT true?

a) Postop hyperpyrexia is most likely an early indicator of acute rejection.

b) Efforts should be made to maintain mean arterial pressure approximating the graft donor’s blood pressure to maintain perfusion to the organ.

c) Postoperative pulmonary edema on chest x-ray is common but is unlikely to require invasive ventilatory support.

d) A donor graft may have disproportionate urine output compared with that predicted by recipient size, and urine output should be replaced accordingly or the patient will be at risk for hypovolemia.

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Answer

Answer a. Moderate hyperpyrexia is a common complication of immunosuppressant therapies, especially those that mediate lymphocyte/thymocyte function and is not necessarily related to acute rejection. Postoperative pulmonary edema on chest x-ray is common, but only rarely requires mechanical ventilation support.

Notes

This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

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