acute rejection with lung transplants and treatment - CORRECT ANSWER takes place
at least once in all lung transplant recipients, usually within the
... [Show More] first 3 months.
Symptoms are coughing, shortness of breath, weakness, elevated temp, low blood o2
levels, pulmonary infiltrates, and pulmonary effusions. Treatment is high-dose
corticosteroids and proper immunosuppressive therapy. If left untreated, chronic
rejection will follow.
chronic rejection with lung transplants - CORRECT ANSWER typically observed oneyear post transplant. Chronic lung rejection causes the bronchioles to become swollen
and fibrose. Inflammation can lead to complete bronchiole obstruction. Treatment is
highly individualized and takes into account the recipients current immunosuppressive
regimen. chronic lung rejection has a death rate of 40% or higher at 3 years’ postdiagnosis.
best way to diagnose acute and chronic rejection in lung transplants - CORRECT
ANSWER direct microscopic examination of tissue from lavage, brush, fine needle
aspiration, transbronchial biopsy, or wedge biopsy. Less effective methods include
chest x-ray, pulmonary function tests and bronchocopic examination.
different types of infection related to lung transplantation - CORRECT ANSWER
morbidity and mortality in lung transplant patients commonly results from infection in the
first 3 months post transplant. Common infections include early bacterial pneumonia,
late bacterial pneumonia, Cdiff, Fungal, Viral or parasites.
medical tests recommended for lung transplant evaluation - CORRECT ANSWER chest
xray PA and lateral. Quantitiative ventilation-perfusion scan, also known as VQ scan
which is divided into 2 sections 1=injection of contrast medium IV hich is illuminated as
it moves into the arteries of lungs indicating which lung receives better blood supply.
2=patient inhales contrast medium to indicate which lung takes in more o2 duing
inspiration. 12 lead EKG. transesophageal echo. pulmonary function tests. arterial blood
gases. o2 desaturation study. 6-minute walking distance. DEXA scan.
when is time right for a lung transplant - CORRECT ANSWER objective and subjective
factors are used to decide when the time is right for a lung transplant. The patient must
meet criteria such as life expectancy is <24-36 months without transplant. Lung disease
can potentially affect the patient's other organs. quality of life has significantly
deteriorated. risk vs reward is weighed. [Show Less]