CCTN TEST WITH 100% CORRECT ANSWERS

CCTN TEST WITH 100% CORRECT ANSWERS Which respiratory disorder can worsen heart failure - Answer-Sleep apnea Why is induction therapy given for pancreas recipients - Answer-Sometimes given to avoid use of steroids as steroid can cause hyperglycemia Basiliximab, campath, thymoglobulin What to do if ATN is expected - Answer-give thymoglobulin or other induction therapy so CNIs can be delayed as they are nephrotoxic and can increase risk of ATN kidney functions - Answer-Excretion of metabolic end products Control fluid balance Produce renin to control BP Produce erythropoietin Maintain acid base balance Activate vitamin D ATN treatment - Answer-there is no treatment, wait it out it can last days to weeks Monitor for electrolyte abnormalities or major fluid overload Enteric drainage vs bladder drainage - Answer-enteric has less risk for fluid/electrolyte changes post transplant Bladder is easier to detect rejection by measuring urine amylase Bladder: risk for dehydration, UTI, cystitis, metabolic acidosis; hematuria Hyperglycemia post pancreas transplant - Answer-Immediately post op can indicate thrombosis Sometimes on insulin drip for first 24-48hr post op Monitoring amylase levels - Answer-Drain amylase- can indicate anastomosis leak Urine amylase- low levels in bladder trained = rejection Daily 8 hr urine tests sent each AM Reflux pancreatitis - Answer-In bladder drained pts, urinary retention can cause enzymes and urine to back flow to the pancreas and cause inflammation Sign of rejection in bladder drained pancreas - Answer-Decreased urine amylase Increased serum amylase Sodium bicarbonate - Answer-A base secreted by the pancreas to neutralize stomach acid, large amounts are excreted via bladder drainage which can lead to metabolic acidosis