Combined Kidney and Pancreas Transplant: Hvornår du skal kontakte lægen

Kontakt dit kirurgiske team inden for få timer

• Sudden severe abdominal pain (pancreas graft thrombosis until proven otherwise)
• Abrupt rise in blood glucose after period of insulin independence (pancreas rejection or thrombosis)
• Anuria or sharp drop in urine output (kidney graft compromise)
• Signs of intra-abdominal bleeding: distension, hypotension, tachycardia
• Fever with abdominal tenderness (anastomotic leak, abscess, graft pancreatitis)
• Signs of DVT or PE (lower extremity swelling, dyspnea — especially if anticoagulation interrupted)
• Rising creatinine on routine labs (kidney rejection, dehydration, or medication toxicity)
• Rising blood glucose or increasing insulin requirements (pancreas graft dysfunction)
• Elevated serum amylase or lipase (graft pancreatitis, rejection)
• If bladder-drained: declining urine amylase (pancreatic rejection marker)
• Fever above 38 degrees C (lower threshold than non-immunosuppressed patients)
• Wound drainage, erythema, or dehiscence at either incision site
• Missed immunosuppression doses

Hav dine oplysninger klar, når du ringer

• Navnet på din operation (Combined Kidney and Pancreas Transplant) og datoen for din operation
• Din aktuelle temperatur
• Smerteniveau (0–10) og hvor det er
• Al medicin du har taget de seneste 24 timer
• En beskrivelse af såret (rødme, væske, åbning)