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학습 자료 둘러보기 →A serum creatinine increase of ≥25% from baseline or a rapid doubling over days to weeks is a medical emergency. For a patient 6 months post-transplant, this is acute rejection until proven otherwise.
Immediate actions include notifying the transplant team, ensuring the patient is hydrated, reviewing medication adherence, and preparing for urgent diagnostic workup (e.g., renal ultrasound to rule out obstruction, donor-specific antibodies, and a kidney biopsy).
Do not attribute a significant creatinine rise to dehydration or other minor causes without immediate investigation. A delay in diagnosing and treating acute rejection can lead to irreversible graft loss.
학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요.