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Transplant Day 15

May 18, 2008 6 comments

The main issues since yesterday’s post are arm pain and nausea/vomiting, but from a kidney-standpoint, everything is great.

Today’s vitals: BP 132/68, Temp 97.7, Wt 214, and yesterday’s ins 2960, and outs were 3375.  BP yesterday was 138/78, and wt was 4 lbs higher.

The reason for the changes probably have to do with my stomach. I vomited 3 times yesterday, and hardly ate much at all. Remembering back to my last appointment, the doctor had stopped my Pepcid, because he prefers to use Prilosec (they are from 2 different classes of drugs; Pepcid is an H2 antagonist and Prilosec is a PPI). He said that if I had stomach problems, he would Rx Prilosec. So, last night I picked up some over the counter Prilosec, and away went my stomach problems! I’ve actually had nausea for the past few days, and not coincidentally, it started 2 days after stopping the Pepcid. So I obviously need something. I’ll get a prescription at my appointment tomorrow.

As for the lower BP; not sure if that is from losing weight or the Magnesium kicking in.

My arm continues to hurt, but mainly when I wake up; it wasn’t too bad during the day. Tylenol #3 helps, so I do take that at night.

We had family over for a cookout yesterday. It was a little chilly, but the rain held off until it was over. Our dogs had a blast; especially Digger. Kevin was playing catch with my sister-in-law’s boyfriend’s son, and Digger thought they were playing with him. If one of them didn’t catch the ball, Digger was right there to scoop it up, and proudly ran around the yard with it in his mouth! Chester, despite his arthritis and rotundness, would bark when the ball was thrown, and make a half-hearted attempt to chase it.

Before we got Chester, he lived at the home I work at on weekends (I do private homecare on the side). It’s not unusual for there to be several Amish buggies go by on a Sunday. Chester would run parallel to the buggy as it went down the road, and barked at it the whole way. I’m surprised that the horses were never spooked!

Tomorrow, I have labs at 12:30, so I have to postpone my evening Prograf dose to 12:30 am, so that it is taken 12 hours prior to blood work. After that, I have an appointment with the Transplant Nurse and Surgeon, and then on to the Transplant Nephrologist.

 

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My Meds Post-Transplant

May 8, 2008 Leave a comment

My meds include:

Prograf 3 mg twice daily (used to prevent my immune system from rejecting the kidney); the dose of this will be regulated by lab work, and will likely change.

Cellcept 500 mg twice daily (used to prevent my immune system from rejecting the kidney); this dose will stay constant unless I have a problem with my blood counts or infection.
Aspirin 81 mg daily (to prevent the new kidney from clotting off)

Diflucan 200 mg weekly x4 weeks (to prevent fungal mouth infection)

Dapsone 100 mg daily (to prevent Pneumocystis Carinii, an organism that causes a nasty pneumonia in those that are immunosuppressed; an opportunistic organism). They usually use Bactrim for this, but I’m allergic.

Valcyte 900 mg daily (my donor was positive for CMV and I was negative; this med prevents me from getting CMV, a viral infection that causes mild symptoms in most people, but could be damaging or life-threatening in the immunosuppressed).

Pepcid 20 mg daily (prevents stomach ulcers and heartburn; the stress of the surgery can cause increased stomach acid production, and at least one of the other meds irritates the stomach)

The reason for the frequent blood work is that Prograf is adjusted by it’s level in the body. Some of the others can also have an adverse effect on the blood count and kidney function, and there is the potential for some adjusting of the other doses as well. It’s a delicate balance, hence the need for close follow up, especially in the beginning.