18 Questions
What is the most common type of anesthesia used in renal transplantation surgeries?
General anesthesia
Which of the following electrolytes should be checked post-op in patients who underwent renal transplantation?
Potassium levels
What are the delayed signs of acute immunologic rejection in a transplanted kidney?
Fever, local tenderness, and decreased urine output
Which medication is commonly used in the perioperative period for renal transplant patients to prevent rejection?
Immunosuppressive drugs
Where is a kidney from a cadaveric donor typically placed in a patient undergoing renal transplantation?
Lower abdomen
What should be monitored during the management of anesthesia in renal transplant surgery to avoid decreasing cardiac output?
Central venous pressure (CVP)
What is the role of Morphine-3-glucuronide in patients with renal clearance issues?
Causes respiratory depression
Why should healthcare providers avoid promoting diuresis in patients with inadequate intravascular volume?
Prevents electrolyte imbalances
In anesthesia management, why is it recommended to avoid venipuncture in the non-dominant arm?
Preserves future dialysis access
What is a potential complication of using a femoral line for venous pressure monitoring during anesthesia?
Increased risk of infection
Why should healthcare providers avoid using a blood pressure cuff on the extremity with an AVF (Arteriovenous fistula)?
Avoids exacerbating hypertension
What is the recommended action if there is residual neuromuscular blockade post-anesthesia in anephric patients?
Consider the use of naloxone
What should be the serum potassium level on the day of surgery according to the text?
Less than 5.5
Why is it important to adjust H2 blockers based on renal function during anesthesia?
To ensure proper medication effectiveness
Which muscle relaxant should be considered as an alternative to succinylcholine for patients with a serum potassium level greater than 5.5?
Atracurium
Why should sevoflurane be avoided during anesthesia according to the text?
Because of concerns regarding fluoride and nephrotoxicity
Which IV drug has a reduced dose advised in chronic kidney disease due to increased volume of distribution and decreased protein binding?
Thiopental
Why is it recommended to hold ACE inhibitors/ARBs to avoid intraoperative hypotension during anesthesia?
Due to the risk of hypotension
Learn about the key considerations and strategies for anesthesia management to prevent renal failure in surgical patients. Topics include monitoring blood volume, glucose management, medication adjustments, and evaluating for anemia and coagulopathy.
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