Jonathan is in need of a heart transplant. He has been on a waiting list for some time. Today, he received a call that a heart has come available and he needs to be at the hospital immediately
a. What are the indications necessary for a heart transplant?
b. What is the time frame involved from harvest to transplant?
c. What are some of the complications related to transplantation?
d. What are some of the symptoms related to rejection?
Students' answers should include the following:
a. Heart transplants in adults are due to cardiomyopathy, CAD, and end-stage heart failure.
Heart transplants in infants and newborns are due to congenital defects.
b. There is a 6-hour window from harvest to transplant.
c. Issues with transplantation include rejection, postoperative infections, cost, postoperative psychosis, and cardiovascular issues.
d. Fever, shortness of breath, elevated blood pressure, weight gain, fatigue, chest tenderness or pain, flulike symptoms, and immune system response to a foreign body
Clients are placed on immunosuppressant drugs so they are at risk for other infections.
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