Diagnosed with subarachnoid hemorrhage

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Reference no: EM133911671

Question

J.L., a 35-year-old-male, was found "down" at home for an unknown reason. Upon hospitalization he was diagnosed with a subarachnoid hemorrhage from a burst cerebral aneurysm. J.L. is in grave condition with a poor prognosis.

The nurse takes the first step for organ donation by calling the regional Donor Network to notify them of J. L.'s low Glasgow Coma Scale score and that he could potentially die. The Transplant coordinator will assess the donor status of J.L. and start the testing process for donation, if indicated.

J.L. is determined to be brain dead by means of a clinical neurological exam, apnea test, and cerebral blood flow study. He is a potential organ donor and the organ procurement team is called to begin managing his case. J.L. becomes unstable with a decreased blood pressure and urine output. One order from the team is for urine output monitoring every 1-hour to catch early signs of renal failure early knowing that during the initial injury phase the urine output can drop quickly.

J.L. is medically managed, stabilized and his organs are donated. A long-term renal failure patient, T.Y. receives one of his kidneys.

1. What topics would you include in your immediate post-op teaching plan for T.Y.?

2. What types of rejection is T.Y. at risk for in the peri-operative period and why?

3. One of the drugs T.Y. is placed on is Tacrolimus. What does this drug put T.Y. at risk for?

4. T.Y. does well and is ready for discharge home. What does T.Y. need to know regarding her long-term management?

Reference no: EM133911671

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