EdRenHANDBOOK
Information provided here is primarily for doctors and other medical staff looking after
renal patients. It is not generally useful or suitable for patients or those without a medical background. Information provided is generally brief and limited to what is required for immediate management, assuming prior medical knowledge. More detail at the foot of the page. Introduction and acknowledgements. The EdRen handbook is being revised 2009, but t
The EdRen Transplant handbook listed below is not current after July 2009: You can see the new Transplant Handbook at the New EdRen site, temporarily lodged at www.edren.co.uk - where for the Transplant handbook ONLY, you can ignore the 'don't use this website yet' signs.
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EdRen Handbook
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Transplant protocols
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ALPHABETICAL LIST |
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PRETRANSPLANT MANAGEMENT |
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Acute
renal failure
management |
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Pre-listing assessment |
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Acute
renal failure
'screen' (tests) |
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Kidneys retrieved locally |
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Anaemia in renal disease |
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Kidneys from UK Transplant |
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- Short
protocol for Epo use |
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- Arrangements for patients from other centres |
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- Iron therapy |
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When the kidney arrives at the Unit |
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- Blood
transfusions |
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Preparing the recipient for the operation |
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Anticoagulation |
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- Hx/exam, investigations, to dialysis, diabetes, |
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Antimicrobial policies |
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- pre-op management, potassium and medication |
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Arteriography
and angioplasty |
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Live donors |
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Blood
pressure in renal disease |
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Coding (EDTA-ERA codes) |
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THE OPERATION |
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Diet in renal disease |
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Anaesthetic protocol |
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- When to refer to the dietitian |
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Foreign travel for dialysis patients |
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POSTOPERATIVE MANAGEMENT |
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GFR estimation |
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On return to the Unit |
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- Reciprocal creatinine plots |
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Day One and subsequent days |
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- Creatinine clearance calculations |
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- Drugs, Tests, Drains and Catheters, Recording |
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Gout & Hyperuricaemia |
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Early problems |
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Haemodialysis |
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Discharge and follow-up |
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- Quantitation, targets, Kt/V, URR |
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Three months |
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- Dry weight |
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Six months |
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- Routine monitoring |
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Long-term follow-up |
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- Troubleshooting |
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- Late graft dysfunction |
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Hypercalcaemia |
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Approach to altered graft function |
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Hyperkalaemia |
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Allograft biopsy |
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Hyperlipidaemia |
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Infection and infection control |
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IMMUNOSUPPRESSIVE DRUGS |
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Nephrotic syndrome |
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Standard immunosuppression |
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Not for RRT |
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- assessment of risk of rejection |
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Osteodystrophy |
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Treatment of acute rejection |
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- Parathyroidectomy: [Ca] management |
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Prednisolone |
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Osteoporosis prevention on steroids |
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- Steroid reduction and withdrawal |
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Peritoneal dialysis |
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- Steroid-induced osteoporosis - prevention |
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Poisoning |
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Basiliximab |
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Pre-dialysis management of CRF |
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Tacrolimus (FK506, Prograf) |
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Preparing patients for RRT |
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Cyclosporine (ciclosporin) |
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Prescribing |
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Azathioprine |
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Proteinuria in renal disease |
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Mycophenolate Mofetil (MMF) |
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Radiology |
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Rapamycin (Sirolimus/Rapamune) |
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Renal biopsy |
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Anti-thymocyte Immunoglobulins (ATG) |
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Stone disease |
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Surgery in ESRD |
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- Perioperative management of [K] |
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INFECTION AND INFECTION PROPHYLAXIS |
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SLE |
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CMV |
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- Cyclophosphamide |
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- Prophylaxis and infection |
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- Newer treatments |
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Pneumocystis |
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Systemic vasculitis |
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- Desensitisation to cotrimoxazole |
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Thrombosis prophylaxis |
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VZV |
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Trials |
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Vaccinations and other prophylaxis |
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UTI |
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Vascular access |
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DRUGS AND PRESCRIBING |
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Complementary medicines |
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Self administration of medicines |
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CAUTION: Please note that
the accuracy of any statements in this information CANNOT be guaranteed.
It is published in the belief that it is correct, and we endeavour
to keep it so - but we do make mistakes. Furthermore, over some
subjects there are differing opinions, or differing degrees of
certainty. We have usually not attempted to discuss these here
because the aim has been to provide an immediate and brief guide.
In all areas, prior medical knowledge is assumed. The EdRenHANDBOOK
is not suitable for use by those without such a background. Contact
us by email
or regular mail (EdREN editors, Renal Medicine, Royal Infirmary, Edinburgh EH16 4SA, Scotland, UK) with comments or corrections.
The
EdREN handbook is edited by Neil Turner and Caroline Whitworth
from content produced by many individuals - see acknowledgements for mentions of some of these. This page was last updated Mon, Aug 10, 2009.
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