{"content":[{"content":{"params":{"media":{"disableImageZooming":false},"answers":[{"correct":true,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"

Acute tubular necrosis <\/div>\n"},{"correct":true,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"

Pneumonia<\/div>\n"},{"correct":true,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"

Wound infection<\/div>\n"},{"correct":true,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"

Hypokalemia <\/div>\n"},{"correct":false,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"

Hypernatremia <\/div>\n"},{"correct":false,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"

Diabetes insipud <\/div>\n"},{"correct":true,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"

Dehydration <\/div>\n"},{"correct":true,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"

Fluid overload <\/div>\n"},{"correct":false,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"

Pneumothroax<\/div>\n"}],"overallFeedback":[{"from":0,"to":90,"feedback":"Try again!"},{"from":91,"to":100,"feedback":"Good work!! The first part of the passcode for Lock #1 is 'aseptic necrosis'"}],"behaviour":{"enableRetry":true,"enableSolutionsButton":true,"enableCheckButton":true,"type":"multi","singlePoint":false,"randomAnswers":true,"showSolutionsRequiresInput":true,"confirmCheckDialog":false,"confirmRetryDialog":false,"autoCheck":false,"passPercentage":100,"showScorePoints":true},"UI":{"checkAnswerButton":"Check","showSolutionButton":"Show solution","tryAgainButton":"Retry","tipsLabel":"Show tip","scoreBarLabel":"You got :num out of :total points","tipAvailable":"Tip available","feedbackAvailable":"Feedback available","readFeedback":"Read feedback","wrongAnswer":"Wrong answer","correctAnswer":"Correct answer","shouldCheck":"Should have been checked","shouldNotCheck":"Should not have been checked","noInput":"Please answer before viewing the solution","a11yCheck":"Check the answers. The responses will be marked as correct, incorrect, or unanswered.","a11yShowSolution":"Show the solution. The task will be marked with its correct solution.","a11yRetry":"Retry the task. Reset all responses and start the task over again."},"confirmCheck":{"header":"Finish ?","body":"Are you sure you wish to finish ?","cancelLabel":"Cancel","confirmLabel":"Finish"},"confirmRetry":{"header":"Retry ?","body":"Are you sure you wish to retry ?","cancelLabel":"Cancel","confirmLabel":"Confirm"},"question":"

V.B. is a 48-year-old male who has a 12-year history of type 2 diabetes mellitus, but it is likely that the diabetes was present for some time before it was diagnosed. He has been conscientious about controlling his diabetes, monitoring his capillary blood glucose several times a day, and modifying his diet appropriately. However, despite these efforts, V.B. developed chronic kidney disease 4 years ago as a result of diabetic nephropathy. He was initially placed on hemodialysis but has been using peritoneal dialysis for the last 3 years so that he could remain employed. One week ago he developed peritonitis for the third time The peritoneal dialysis catheter has been removed and hemodialysis has been started. He is experiencing marked hypotension and severe muscle cramps with hemodialysis.<\/p>\n\n

V.B had a kidney transplant. You are aware of the importance of frequent assessments postoperatively. For which potential complication would you monitor V.B.? There are six correct answers.<\/strong><\/p>\n"},"library":"H5P.MultiChoice 1.16","metadata":{"contentType":"Multiple Choice","license":"U","title":"Case Study Multiple Choice"},"subContentId":"1a1439ff-dd87-44b4-9612-89c00aaa1237"},"useSeparator":"auto"},{"content":{"params":{"media":{"disableImageZooming":false},"answers":[{"correct":false,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"

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Acute rejection occurs minutes to hours following transplantation.<\/div>\n<\/div>\n"},{"correct":true,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"
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It is not uncommon to have at least one rejection episode.<\/div>\n<\/div>\n"},{"correct":false,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"
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Chronic rejection is easily managed with the use of monoclonal antibodies such as muromonab-CD3 (OKT3).<\/div>\n<\/div>\n"},{"correct":true,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"
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Patients with chronic rejection should be put on the transplant list in the hope that they can be retransplanted.<\/div>\n<\/div>\n"},{"correct":true,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"
\nHyperacute rejection requires that the transplanted kidney be removed.\n<\/div>\n"},{"correct":false,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"
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Hyperacute rejection can be prevented with the use of the polyclonal antibodies (antithymocyte globulin [ATG] and antilymphocyte globulin [ALG]) immediately after transplantation.<\/div>\n<\/div>\n"},{"correct":true,"tipsAndFeedback":{"tip":"","chosenFeedback":"","notChosenFeedback":""},"text":"
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Periodic blood testing will be necessary for the rest of the patient's life to detect signs of rejection and to evaluate immunosuppressant drug levels.<\/div>\n<\/div>\n"}],"overallFeedback":[{"from":0,"to":90,"feedback":"Try again!"},{"from":91,"to":100,"feedback":"Good work! The second part of the passcode is 'of joints'"}],"behaviour":{"enableRetry":true,"enableSolutionsButton":true,"enableCheckButton":true,"type":"auto","singlePoint":false,"randomAnswers":true,"showSolutionsRequiresInput":true,"confirmCheckDialog":false,"confirmRetryDialog":false,"autoCheck":false,"passPercentage":100,"showScorePoints":true},"UI":{"checkAnswerButton":"Check","showSolutionButton":"Show solution","tryAgainButton":"Retry","tipsLabel":"Show tip","scoreBarLabel":"You got :num out of :total points","tipAvailable":"Tip available","feedbackAvailable":"Feedback available","readFeedback":"Read feedback","wrongAnswer":"Wrong answer","correctAnswer":"Correct answer","shouldCheck":"Should have been checked","shouldNotCheck":"Should not have been checked","noInput":"Please answer before viewing the solution","a11yCheck":"Check the answers. The responses will be marked as correct, incorrect, or unanswered.","a11yShowSolution":"Show the solution. The task will be marked with its correct solution.","a11yRetry":"Retry the task. Reset all responses and start the task over again."},"confirmCheck":{"header":"Finish ?","body":"Are you sure you wish to finish ?","cancelLabel":"Cancel","confirmLabel":"Finish"},"confirmRetry":{"header":"Retry ?","body":"Are you sure you wish to retry ?","cancelLabel":"Cancel","confirmLabel":"Confirm"},"question":"
You teach V.B. about the possibility of rejection, one of the major problems following kidney transplantation. Select the statements about rejection that are true. There are FOUR correct answers.<\/strong><\/p>\n"},"library":"H5P.MultiChoice 1.16","metadata":{"contentType":"Multiple Choice","license":"U","title":"Case Study Multiple Choice"},"subContentId":"62157499-95fb-4d3c-a0fb-bec9cc92140f"},"useSeparator":"auto"}]}

Case Study Kidney Transplant Clue # 1

Hailey Macleod