comp pt

Card Set Information

comp pt
2011-04-26 22:36:00
little ch22

organ and bone marrow transplantation
Show Answers:

  1. when is rejection of an organ transplant apparent?
    when organ failure begins to occur (confirmed by organ biopsies)
  2. wha tis used to replace azathioprine due to lack of bone marro suppression?
  3. what are the two types of cancers frequently found in immunosupressed transplant pts?
    • suqmous cell carcinoma
    • situcarcinoma
  4. what type of graft versus host disease occurs within 2 months after transplan and involves skin liver and GI tract
    acute GVHD
  5. what type of graft versus host diesase involves skin changes (like scleroderma), sicca syndrom (sjorgen's sydrome), malabsorptions, features of autoimmunity (body attacks itself)
    chronic GVHD
  6. t/f a pt during post transplant will be severely immunosuppressed and highly susceptible to infection
    true-so treat all their crap before they have the transplant
  7. when is the most risky time for a pt to have complications, acute rejection and infection after a transplant?
    immediate post trasplant period
  8. what four things enhance survival and prevent rejection of transplant organ?
    • cyclosporine
    • prednisone
    • azathioprine
    • ant lymphocyte globulin
  9. what type of treatment can be done in the first 3 months after transplant?
    emergency dental tx only
  10. if tx in the first three months after trnamsplant is done what should be given to pt?
    antibiotic prophylaxis
  11. during wath stage of post transplant is a pt especially susceptible to fugal infectios of candida albicans?
    stable transplant period
  12. what is recommended for a pt with extensive perio disease before transplantation?
    extraction of teeth and get dentures
  13. what antibiotic prophylaxis is give to a post transplant pt?
  14. what is given to a post transplant pt that is allgergic to ammoxicillin?
  15. what drug may be toxic to the liver and kidneys of a post transplant pt and therefore should not be used?
  16. whaty is the most common HSV for a post transplant pt?
    cytomegalovirus CMV
  17. mucositis, herpes simplex infection, herpes zoster, CMV, candidiasis, large slow to heal apthous ulcers, ulcerations, unusual alveolar bone loss, lymphoma, kaposi's sarcoma, squamous cell carcinoma of the lip and hairy leukoplakia are all indications of what?