Liver Transplantation Self-Learning Module POST-TEST

Name: ______________________

Name two indications for liver transplantation: Name two contraindications for liver transplantation: True or False : HIV-positive patients will automatically be excluded from liver transplantation. A patient with biliary tract obstruction may have an elevated serum ___________ and ____________. A patient who has elevated an serum NH3 level may be experiencing hepatic _____________. Manifestations of ESLD that are caused by portal hypertension include ____________ and ___________. Patients with ascites are often given prophylactic antibiotics to prevent ________________________________. Medical treatment of ascites includes all of the following interventions except: TIPS shuntl Paracentesis Sclerotherapy Diuretic therapy A contraindicated IV fluid for liver transplant patients pre- and post-Operatively is ______________. At URMC, a live donor liver transplant recipient receives what portion of the donor's liver? left lobe 60% of the donor's liver 40% of the donor's liver. 2/3 of the donor's liver Name at least three lines the liver transplant recipient should have post-operatively: Name four drainage tubes the liver trnasplant recipient will have: What is the main purpose of the JP drains?   Accidental removal of which drain would indicate immediate exploratory surgery? Name five indicators of post-transplant liver function: Hemodynamically the post-operative liver transplant recipient is expected to be in a ____________ state. What are four specific hemodynamic problems the post-operative liver transplant recipient may experience? True or False (circle one) Neosynephrine is routinely used to treat a liver transplant patient's low SVR. Right hemidiaphragm paralysis due to surgical damage to the phrenic nerve may delay _______________. Describe the surgical incision seen in the liver transplant recipient:     The cutdown sites that are located in one groin and one axilla in most liver transplant recipients were for the _________________________ during surgery. The transplant service flow sheet (green sheet) for the liver transplant recipient will be kept: On the wall at the bedside In the bedside chart In the patient's main chart In the lab Low serum ________ levels can cause weakened respiratory muscles and therefore may adversely affect ventilator weaning. Calcium Potassium Magnesium Phosphorous What are three possible reasons for poor renal function post-operatively in the liver transplant recipient? Signs and symptoms of rejection include all of the following except: fever decreased quality and quantity of bile. decresed serum levels of bilirubin and/or transaminase sense of ill-being increased ascites The post-operative liver transplant recipient is pan cultured if his/her temperature reaches _____ and they have not been pan cultured within the previous 24 hours. Due to immunosuppression, the liver transplant recipient is at risk for ____________. Potential viral infections post-transplantation include: Potential fungal infections post-transplantation include: A potential protozoal infection post-transplantation would be ______________. Name four types of rejection: Name four indications for retransplantation: If ___________________________ is suspected, doppler ultrasound might be performed to look for this. When do you draw a tacrolimus level? 1930, before the evening dose is administered. 0730, before the morning dose is administered One hour after the morning dose. ½ hour after the evening dose The blood sample for the tacro level is sent in ...... a plain red-top tube to micro an SST tube to micro a plain red-top tube to chemistry a purple-top tube to chemistry Treatment of acute rejection may begin with 1 gram IV bolus of ________________ What medications should a patient receive prior to a dose of Thymoglobulin or OKT3?