Meu SciELO
Serviços Personalizados
Journal
Artigo
Indicadores
Citado por SciELO
Acessos
Links relacionados
Citado por Google
Similares em SciELO
Similares em Google
Compartilhar
Enfermería Nefrológica
versão On-line ISSN 2255-3517versão impressa ISSN 2254-2884
Resumo
MENCIA PRENDES, Sara e RUIZ GARCIA, María. Report of a case of coronavirus infection in a renal transplant recipient. Enferm Nefrol [online]. 2020, vol.23, n.3, pp.294-302. Epub 04-Jan-2021. ISSN 2255-3517. https://dx.doi.org/10.37551/s2254-28842020031.
Introduction:
Coronavirus infection favours the development of respiratory disorders. In kidney transplant patients, the prognosis of SARS-CoV-2 pneumonia may be different from the rest of the population. Many transplant patients have drug-induced lymphopenia, so early detection and treatment are crucial in this population group.
Case description:
A 50-year-old man with unknown CKD and a kidney transplant in 2016 who came to the emergency room due to fever of 38ºC, cough, rhinorrhea, diarrhea with weight loss and discomfort in a kidney graft in the right iliac fossa. He was diagnosed with COVID-19 positive after performing a chest X-ray and SARS-CoV-2 PCR. He was admitted to our kidney transplant unit.
Description of the care plan:
An initial assessment was made using Gordon’s functional patterns. Subsequently, we identify Nursing Diagnoses according to the NANDA taxonomy with their corresponding outcome and intervention criteria.
Evaluation of the care plan:
After carrying out the interventions and evaluating the outcome indicators, we observed a decrease in body temperature and respiratory distress with improvement in the respiratory pattern. Regarding renal function, it has not been significantly altered despite the temporary withdrawal of immunosuppression.
Conclusion:
The patient is discharged with a renal function similar to the previous one and with reintroduced immunosuppression. The objectives set were achieved, making it clear that the role of nursing has been vital in the process of recovery and coping with the disease.
Palavras-chave : Coronavirus; immunosuppressants; kidney transplantation; acute rejection.