Hepatocellular diseases, Inborn Errors of Metabolism, Chemically Induced Liver Damage, Cholestatic Diseases, Vascular Disease of the Liver, Primary Liver Cancers are some of the reasons behind liver transplantation.
Post operation, the supplies and equipment at bedside mainly consists of ventilator, urinometer and other emergency equipments etc to take care of the patient after liver transplant. The patients will have two arterial lines, SvO2 Swan-Ganz Catheter and a second introducer, RICC line, Peripheral IV (s) to take due care of the patient post operation.
After getting transferred from the SICU, patients need to be made to take a short walk and this activity needs to be subsequently increased every day for a speedy recovery and to prevent complications such as blood clots and pneumonia. The new transplanted liver needs to be taken care of and the patients who are severely malnourished need to be placed on nutritional supplementation as soon as stable fluid and electrolyte status and adequate graft function have been reached.
Signs and symptoms of both rejection and infection need to be analyzed. Until the time of discharge, care should be taken monitor the liver function and the blood levels of the medications. Post operation, one should look out for signs and symptoms of rejection before discharge. Fever, pain around liver, or symptoms like flu should be attended to immediately. There is a possibility of jaundice, which needs to be reported to the transplant doctor, as any rrecurrent disease may be severe enough as well as life threatening.
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