Kidney transplant

The case A 61-year-old male with a history of end-stage renal disease secondary to long-standing diabetes and hypertension, on hemodialysis for 5 years, presents for deceased-donor renal transplantation. Patient care Residents must be able to provide patient care that is compassionate, appropriate, and effective for the treatment of health problems and the promotion of health. Communicate effectively and demonstrate caring and respectful behaviors when interacting with patients and their families. No doubt this is a big day for the patient, as he is about to not only go under anesthesia, but also receive an organ that could potentially alter the rest of his life, for better or worse. Building rapport and showing confidence in your ability to take care of the patient in the operating room (OR) cannot be overemphasized. Let him know that you will need to place multiple intravenous (IV) lines, a central venous catheter, an arterial catheter, and a Foley catheter. By the time he wakes up, he should feel like a Christmas tree. Gather essential and accurate information about their patients. When was his last dialysis? This gives an indication of whether he might be dry as a prune (immediately postdialysis) or plump as a tomato (just before dialysis). Where is his fistula (if any)? You would never want to place monitors or establish access on that extremity. What is his exercise tolerance or cardiac status? This will help guide our anesthetic induction and maintenance.