Page 1851 - Saunders Comprehensive Review For NCLEX-RN

eligibility for a transplant.

3. The recipient must take immunosuppressive

medications for life.
B. Donors
1. Donors may be living donors (related or unrelated to
the client), non-heart-beating donors (NHBDs), or
cadaver donors.
2. The most desirable source of kidneys for
transplantation is living related donors who closely
match the client.
3. Non-heart-beating donors are those who have been
declared dead by cardiopulmonary criteria and have
organs harvested immediately after death; these
persons have consented previously to organ donation.
4. Cadaver donors are those who have suffered
irreversible brain injury; these persons are maintained
with mechanical ventilation and must have adequate
perfusion to the kidneys.
5. Physical criteria for donors include absence of
systemic disease and infection, no history of cancer,
no kidney disease or hypertension, and adequate
kidney function.
6. Donors are screened for ABO blood group, tissue-
specific antigen, human leukocyte antigen suitability,
and mixed lymphocyte culture index
(histocompatibility); donors are also screened for the
presence of any communicable diseases and undergo
a complete medical evaluation as well as a
nephrology consultation.
7. The donor must be in excellent health, with 2 properly
functioning kidneys.
8. The emotional well-being of the donor is determined.
9. Complete understanding of the donation process and
outcome by the donor is necessary; usually kidney
removal from the donor is done using a laparoscopic
procedure.
C. Preoperative interventions
1. Verify histocompatibility tests of donor, which will be
done by organ bank personnel.

2. Administer immunosuppressive medications

to the recipient as prescribed.

3. Maintain strict aseptic technique.

4. Verify that hemodialysis of the recipient was
completed 24 hours before transplantation.

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