Mod8 discussion.docx - Mr Rojas is a 49-year-old patient...

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Mr. Rojas is a 49-year-old patient with End Stage Renal Disease. He has a history of hypertension and uncontrolled type 1 diabetes (since he was 12 years old). His last Hemoglobin A1c was 12.8%. He is currently receiving hemodialysis three times per week for three hours. He is in the hospital because he went into DKA a few days ago when he had a stomach virus. He is asking you about renal transplantation. What are the criteria to be placed in the transplant list? Must be free of medical problems that might increase the risks from the procedure. Patients who have advanced, uncorrectable cardiac disease are excluded from the procedure because these problems are made worse by transplantation. Diabetes and other endocrine problems cause great risks. Patients with these problems can have a kidney transplant but require intense observation and management to limit complications. (Rebar, C., Ignatavicius, D. & Workman, L. M. 2018).

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