CCTC Certification Review|
Comprehensive Q&A For Certification
Success
What are causes of cholestasis post liver transplant-correct-answer-Rejection
Sepsis
Drug toxicity
Preservation injury
Clinical manifestations of cholestasis-correct-answer-Cloy or white stools
Dark urine
Itching
Pain in upper right quadrant
Jaundice
Inability to digest certain foods
N&V
Locations of bile leaks post liver transplant-correct-answer-Anastomosis site
T tube exit site
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Along the t tube tract at time of removal
Within the liver as result of bile duct destruction(bile leak)
From the cut surface in split liver, living donor transplant, or after biopsy
CMV clinical manifestations-correct-answer-High fever, rigors, body aches, night
sweats
CMV prophylaxis-correct-answer-Valganciclovir ( valcyte) for 3 months
S&S of rejection post liver TX-correct-answer-Fever, ictera(yellowing of sclera),
jaundice, RUQ pain, fatigue, malaise, pruritis
*confirmed by biopsy
Lab changes with rejection s/p liver TX-correct-answer-Elevated AST, ALT, bilirubin
What color should t tube drainage be post liver Tx?-correct-answer-Golden brown