RT Book, Section
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.
SR Print(0)
ID 56275550
T1 Chapter 99. The Transplant Patient
T2 Tintinalli's Emergency Medicine Manual, 7e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-178184-8
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=56275550
RD 2024/04/19
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.