Preparation for Surgery
After being admitted to the hospital, you'll
undergo a thorough physical examination, including
a chest X-ray, EKG
(electrocardiogram), and blood
tests. Some patients, depending on their blood
test and physical exam results, may require dialysis
before surgery.
A final cross-match between you and the donor
will be performed. If the final cross-match
shows an incompatibility with the donor, surgery
will have to be canceled and the search for
a more suitable donor will
continue. The surgery may also have to be canceled
if you have any active infections or other significant
medical problems. If either the donor kidney
or pancreas show signs of concern to the transplant
surgeon, the transplant will have to be canceled
until a better organ becomes available.
In preparation for surgery, an intravenous
(IV) line
will be inserted into one of your veins to
prevent dehydration. After you are asleep
in the operating room, a Foley
catheter will be
placed in your bladder to monitor urine output,
and a nasogastric (NG) tube will be inserted
through your nostrils and down your throat into
your stomach to prevent vomiting.
You'll also begin receiving immunosuppressive
medications before your transplant, so that
your immune system won't actively attempt to
reject your new organ(s).
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