Nursing care of deceased donor kidney transplantation: A case study

Abstract

This study is a case study. The aim of this study is to analyze the nursing care provided to patients undergoing deceased donor kidney transplantation. The subject of this case study is a 35-year-old Thai woman. End stage renal disease was diagnosed, necessitating kidney replacement therapy through intravenous hemodialysis administered to the left arm 3 times per week, currently no urine. The author administers nursing care through patient preparation before to surgery, pre-post-operative care, complication prevention, and discharge planning. After surgery, evaluation of the transplanted kidney indicated immediate graft function, immediate urination was observed, rendering dialysis unnecessary and creatinine gradually decreased. Creatinine levels were 9.32 mg/dL before surgery and decreased to 2.54 mg/dL prior to discharge. Immunosuppressive levels are appropriate, the patient had no complications, allowing for discharge home on the 6^th day after surgery.