AND ANSWERS SURE A+
✔✔Effects of smoking kidney tx recipients - ✔✔Increased risk of cardiovascular events,
renal fibrosis, rejection, and malignancy
✔✔Patients referred for heart tx will undergo right heart cath to determine what? -
✔✔Degree of pulmonary HTN
✔✔Contraindications to heart tx include - ✔✔Severe fixed pulmonary htn
✔✔Why Left heart cath performed on tx recipient - ✔✔To determine if any lesions
amendable to intervention to relieve sx and obviate need for tx
✔✔Indications for lung tx - ✔✔Non a-1 Antitrypsin disease, COPD, interstitial lung
disease, bronchiectasis associated with CF, pulmonary htn, COPD associated with a-1
Antitrypsin disease
✔✔How often is lung recipients LAS updated? - ✔✔Every 6 months
✔✔When is simultaneous Heart/ lung tx indicated? - ✔✔Concurrent end stage heart
and lung disease or with severe, fixed pulmonary htn, idiopathic pulmonary artery HTN,
sarcoidosis with pulmonary and cardiac manifestations, CF, and acquired heart disease
, ✔✔MELD score components - ✔✔Total bilirubin creatinine INR Na and etiology of
disease
✔✔MELD score range - ✔✔6(less ill) to 40 (gravely ill)
✔✔PELD score - ✔✔Pediatric model for end stage liver disease determines how urgent
pt require liver in next 3 months
✔✔ - ✔✔model for end stage liver disease determines how urgent pt require liver in
next 3 months
✔✔How often Lung Allocation Score (LAS) updated/ what info - ✔✔Every 6 months with
FVC, six minute walk distance, creatinine,
✔✔How often Patients with known HCC have re-evaluation tests - ✔✔Every 3 months
per unos to receive meld exception points
✔✔EPTS (estimates post transplant survival score) - ✔✔Receives After 18 years old,
represents percentage of kidney candidates in the nation with a longer expected post
transplant survival time.
✔✔How is EPTS calculated? - ✔✔Time on dialysis, DM, prior transplant, age
✔✔Kidney Donor Profile Index (KDPI) - ✔✔Kidneys from deceased donors are
classified according to the KDPI. score derived from kidney donor profile index which
takes donors characteristics into consideration: age ethnicity creat, h/o HTN, h/o dm,
cause of death, hgt wgt HCv status, donor type(DCD OR NOT)
✔✔Common indications for heart/lung transplant? - ✔✔COPD, idiopathic, pulmonary
fibrosis, cystic fibrosis, idiopathic pulmonary artery htn, and CF most common for
heart/lung
✔✔reason for VQ scan during lung tx evaluation - ✔✔to determine which lung has
better air and blood. helps decide which lung to tx.
✔✔Patients with LAS >50 must have which variables updated every 2 weeks? -
✔✔functional status, o2 requirements, diabetes status, assisted ventilation.
✔✔what assessment must be updated every 6 months for lung recipient? - ✔✔PFTs, 6
min walk, serum creatinine
✔✔what is LAS (lung allocation score) - ✔✔LAS is a tool to estimate medical urgency. it
does not predict how long a pt will survive without tx. calculated 0-100. higher score,