Lesson 1Psychosocial and adherence assessment: evaluation of social support, substance use, medication adherence predictorsCover structured mind-social check before transplant, including social support, mental health, substance use, an med adherence predictors, to spot barriers an plan fixes fi better long-term graft life.
Standardized psychosocial screening toolsEvaluating caregiver and social supportScreening for depression and anxietySubstance use history and toxicology testsPredictors and remediation of nonadherenceLesson 2Comprehensive medical history and physical exam: diabetes, cardiovascular, peripheral vascular disease, dialysis access reviewSum up di full pre-transplant history an physical check, stressing heart, peripheral vascular, diabetes, an dialysis access review to find no-go an fixable perioperative risks.
Structured transplant‑focused historyCardiovascular and peripheral vascular reviewDiabetes complications and foot examinationDialysis access function and infection historyMedication reconciliation and allergy reviewLesson 3Hematology and coagulation: platelet function, anticoagulation/antiplatelet management, transfusion thresholdsZero in on blood an clotting check, covering anemia, platelet work, an handling anticoagulant an antiplatelet meds, to set transfusion limits an cut bleeding an clotting wahala round surgery.
Baseline CBC, iron studies, and anemia planPlatelet count, function, and uremic bleedingWarfarin, DOAC, and heparin bridgingAntiplatelet interruption and continuationRed cell and platelet transfusion thresholdsLesson 4Vascular surgery assessment: peripheral arterial disease mapping, iliac/femoral vessel duplex/CT angiography, access site planningDig into vascular surgery check fi kidney transplant planning, mapping peripheral artery disease, imaging iliac an femoral vessels, an picking best access spots fi safe join-up an long-term graft blood flow.
Clinical exam for peripheral arterial diseaseDuplex ultrasound of iliac and femoral vesselsCT angiography for complex vasculatureChoosing side and site for graft anastomosisManaging severe aortoiliac occlusive diseaseLesson 5Pulmonary evaluation and anesthesia risk: spirometry, sleep apnea screening, frailty and functional status assessmentTalk bout lung an anesthesia risk check, including spirometry, sleep apnea screen, frailty, an functional status, to size up perioperative risk an guide fixing, watching, an post-op placement planning.
History, exam, and spirometry indicationsChest imaging and pulmonary hypertensionScreening and management of sleep apneaFrailty indices and gait speed testingAnesthesia risk classification and planningLesson 6Infectious disease evaluation: latent infections (TB, CMV, EBV, VZV, HBV, HCV, HIV), vaccination review, prophylaxis planningDis part spell out infectious disease check fi transplant hopefuls, stressing hidden infections, vaccine status, an personal prophylaxis plans to cut down post-transplant chance fi opportunistic infections an reactivation under immune suppression.
Screening for TB, CMV, EBV, and VZVHBV, HCV, and HIV testing and stagingPre‑transplant vaccination catch‑up planDonor‑recipient serostatus risk matchingDesigning antiviral and PCP prophylaxisLesson 7Cardiology workup: noninvasive ischemia testing, coronary angiography indications, functional capacity assessment, perioperative revascularization criteriaCover heart check fi transplant candidates, including noninvasive ischemia test, when fi do coronary angiography, checking functional capacity, an criteria fi revascularization to drop perioperative heart events.
Baseline ECG and echocardiographyStress testing and ischemia detectionIndications for coronary angiographyFunctional capacity and METs assessmentRevascularization versus medical therapyLesson 8Endocrine and metabolic optimization: diabetes control strategies pre-transplant, obesity and nutritional optimization, weight-loss options and timelineLook over endocrine an metabolic issues before kidney transplant, zeroing in on diabetes fixing, obesity an nutrition, weight-loss tactics, an real timelines to hit metabolic goals dat reduce perioperative an long-term wahala.
Pre‑transplant HbA1c and glycemic targetsAdjusting insulin and non‑insulin therapiesObesity‑related surgical and graft risksNutritional assessment and protein‑energy statusPharmacologic and surgical weight‑loss optionsLesson 9Laboratory and imaging baseline tests: crossmatch/serology, HLA typing, PRA, baseline renal ultrasound and vascular imaging, baseline BK/JC viral statusLay out key lab an imaging tests dat set di pre-transplant baseline, like HLA typing, PRA, crossmatch, serologies, renal ultrasound, vascular imaging, an BK/JC viral status to guide donor pick an perioperative planning.
ABO typing, HLA typing, and PRA levelsComplement‑dependent and flow crossmatchBaseline renal ultrasound and DopplerCT or MR angiography of iliac vesselsBK and JC virus PCR and serologic statusLesson 10Decision criteria to accept or delay transplant: cardiopulmonary thresholds, infection control, vascular access/target vessel suitability, BMI and metabolic targetsExplain how di team decide fi go ahead or hold off kidney transplant, mixing heart-lung thresholds, infection control, vascular fit, an BMI an metabolic goals to balance urgency wid fixable risks.
Cardiopulmonary fitness and VO2 thresholdsActive infection and sepsis exclusionTarget vessel imaging and suitabilityBMI cutoffs and weight‑loss milestonesMetabolic syndrome and blood pressure goals
