TY - CHAP M1 - Book, Section TI - Chapter 99. The Transplant Patient A1 - Cline, David M. A2 - Cline, David M. A2 - Ma, O. John A2 - Cydulka, Rita K. A2 - Meckler, Garth D. A2 - Handel, Daniel A. A2 - Thomas, Stephen H. Y1 - 2012 N1 - T2 - Tintinalli's Emergency Medicine Manual, 7e AB - Management of the transplant patient in the emergency department can be divided into 3 general areas: disorders specific to the transplanted organ; disorders common to all transplant patients due to their immunosuppressed state or antirejection medication; and disorders unrelated to their transplant, yet special care is required due to their medications or altered physiology. Disorders specific to the transplanted organ are manifestations of acute rejection, surgical complications specific to the procedure performed, and altered physiology (most important in cardiac transplantation). The most common presentations of transplant patients to the emergency are: infection (39%) followed by noninfectious GI/GU pathology (15%), dehydration (15%), electrolyte disturbances (10%), cardiopulmonary pathology (10%) or injury (8%), and rejection (6%). Before prescribing any new drug for a transplant recipient, the treatment plan should be discussed with a representative from the transplant team. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/19 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=56275550 ER -