Full history and examination

Particular points of note:

a) History

  •  Cause of renal failure
  • Dialysis:
    • type, when commenced, time of last dialysis –normal target or dry weight
    • access and any related problems
  • Volume of urine output + history of past/present, urinary tract problems
  • Infections -any recent urinary, CAPD peritonitis/exit site/access related
  • Other operations
  • Ischaemic heart disease
  • Peripheral vascular disease
  • Previous renal transplants, timing and cause of failure
  • Recipient blood group, tissue typing and virology (CMV, EBV, HIV, Hep B & C) must be recorded in the notes.
  • Donor details should also be included in recipient clerking – age, cause of death, blood group, tissue typing, virology and ischaemic time. The transplant coordinator will provide this information.

NOTE: Donor confidentiality must be maintained at all times

b)  Examination – a full physical examination of the patient must be performed and should include:

  • assessment of fluid status:
    • supine and erect blood pressure recordings
    • JVP
    • peripheries
    • any oedema
    • weight vs ‘dry weight’ if on dialysis
  • peripheral pulses
  • abdominal scars/hernias
  • presence of failed transplant / previous transplant nephrectomy

 

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