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학습 자료 둘러보기 →A classic presentation of acute graft dysfunction includes fatigue, decreased urine output (oliguria), and mild abdominal pain over the graft site. Laboratory findings will show a significant rise from baseline in serum creatinine (e.g., 2.8 mg/dL) and BUN (e.g., 45 mg/dL).
The priority nursing intervention is to notify the transplant team immediately. The definitive diagnostic step is a percutaneous kidney allograft biopsy to differentiate between acute cellular rejection, antibody-mediated rejection, or drug toxicity. The nurse's role is to prepare the client physically and psychologically for this procedure.
Never increase fluid intake or administer diuretics for oliguria in a transplant patient without a specific order from the transplant team, as this can cause fluid overload and delay life-saving treatment for rejection.
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