Renal transplantation

  • Source: Living/deceased donors
  • Immunosuppression:
    • Induced with anti-IL-2R mab
    • Maintain with corticosteroids (transcriptional effects), anti-metabolite (AZT, mycophenolate), calcineurin inhibitors (tacrolimus)

Complications:

  • immediate: acute graft rejection, delayed graft function, urinary retention
  • medium-term:
  • long-term: immunosuppressant toxicity
  • monitor fluid balance
  • ⚠ transplanted kidneys have no sensory innervation