Uge 2: Restitution efter Pancreas Transplant Surgery
Fase 1: Phase 1: Weeks 1-4 (dækker uge 1–4).
Restriktioner
- Active rejection of pancreas or kidney graft
- Pancreas graft thrombosis (ongoing evaluation or treatment)
- Active opportunistic infection
- Hemodynamic instability
- Surgical complications requiring intervention (bile leak, hemorrhage, anastomotic leak)
Eksempler på daglige aktiviteter
- Immunosuppression Schedule — Strict timing prevents rejection.
- Infection Prevention — Strict precautions while immunosuppressed.
- Vital Signs Log — Daily tracking detects rejection or infection early.
- Early Ambulation — Mobilize as soon as cleared to prevent complications.
- Daily Pain & Symptom Check-In — Track pain, energy, mood, and any new symptoms to detect complications early.
- Wound / Incision Inspection — Check incision sites for infection (redness, drainage, dehiscence).
- Hydration & Nutrition Log — ERAS emphasizes early oral intake and adequate hydration.
Kontakt dit behandlerteam denne uge hvis:
- Sudden severe abdominal pain (graft thrombosis, hemorrhage, anastomotic leak)
- Rising blood glucose after initial normalization (rejection, thrombosis, graft loss)
- Fever above 38°C with chills (infection in immunosuppressed patient — lower threshold than non-immunosuppressed)
- Heavy bleeding (wound, hematuria if bladder-drained)
- Signs of graft pancreatitis: severe epigastric or periumbilical pain with nausea
- Sudden decrease in urine output (kidney graft concern in SPK)
- Chest pain, sudden shortness of breath, calf swelling (PE, DVT)
- Confusion, disorientation, or altered consciousness
- Gross hematuria (if bladder-drained: may indicate graft duodenal segment bleeding)
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