Page 74 - Heart Transplant Protocol

Heart Function Service: Heart Transplant Protocols

Renal dysfunction of -Obtain baseline BUN 1. Slow or stop Patient at increased
acute renal failure and serum creatinine infusion AND contact risk:
and as needed provider  Pre-existing renal
Sucrose as a product -Make sure patient is 2. Call the ADR hotline insufficiency
stabilizer has not volume depleted. If to report the reaction  Volume depletion
accounted for more patient appears  Concomitant
adverse renal effects. dehydrated, notify nephrotoxic drugs
Polygam S/D and provider –Record and  Sepsis,
Gammagard S/D and monitor patients fluid paraproteinemia
Gamunex do not intake and urine  Diabetes Mellitus
contain sucrose output during infusion
and as needed for 24 Use agents that do not
to 48 hours after contain sucrose
completion of infusion
Consider modifying the
maximum infusion rate
to 0.1 g/kg/hr (4
mL/kg/hr for 5%
solution or 2 mL/kg/hr
for 10% solution)
Aseptic meningitis Patient symptoms: 1. Contact provider Reaction may occur 10
rapid-onset severe 2. Call the ADR hotline to 12 hours after
headache, stiff neck, to report the reaction completion of the
and photophobia. infusion. Patient may
tolerate subsequent
infusion without
adverse effects.

Updated November 9, 2017 74