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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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Evaluation of potential lung transplant recipients*

Evaluation of potential lung transplant recipients*
Laboratory testing
Complete blood count and differential
Coagulation studies (INR, PTT)
Iron, TIBC, ferritin
Glucose, hemoglobin A1C
Complete metabolic panel (electrolytes, liver function tests, BUN, creatinine)
Pregnancy test in females of childbearing age
Urinalysis
Brain natriuretic peptide
Vitamin D level
Type and cross match (ABO)
Highly sensitive, solid-phase assays for HLA I and II antibodies
Serum/urine cotinine
Toxicology screen in patients with prior or suspected illicit drug use
Assessment for prior/current infections
Cytomegalovirus (CMV) IgG/IgM
Epstein Barr virus (EBV) IgG/IgM
Hepatitis B and C serologies
Herpes simplex (HSV) IgG/IgM
Human immunodeficiency virus (HIV)
Varicella zoster (VZV) IgG/IgM
Coccidioides IgG/IgMΔ
Toxoplasma IgG/IgMΔ
Strongyloides IgGΔ
Tuberculin skin testΔ
Sputum gram stain and culture
Breathing tests
Spirometry pre and post bronchodilator
Lung volumes by plethysmography
Diffusing capacity for carbon monoxide
Six-minute walk test
Arterial blood gas
Imaging
Chest radiograph
Chest computed tomography
Quantitative nuclear ventilation perfusion scan
Cardiac tests
Electrocardiogram
Echocardiogram or radionuclide ventriculography (RVG)
Cardiac catheterization (right and left heart) for patients over age 45
Health maintenance review to ensure the candidate is up to date on these screening tests
DEXA bone density test (within two years)
Colonoscopy (within 10 years, if over age 50 years)
Mammogram and Pap smear (for women) in the past year
Prostate specific antigen and digital rectal examination of prostate (for men)
Dental examination
Assessment of gastric esophageal reflux and gastric emptying
Barium swallow
Impedance pH probe monitoring
Esophageal manometry
Esophagogastroduodenoscopy (EGD) if concerns about Barrett esophagus, reflux esophagitis
Vaccinations
Hepatitis A and B (if not already immune)
Pneumococcal pneumonia vaccines (pneumococcal conjugate vaccine [13-valent], pneumococcal polysaccharide vaccine [PPS23])
Seasonal influenza vaccine

INR: international normalized ratio; PTT: partial thromboplastin time; TIBC: total iron binding capacity; A1C: glycated hemoglobin; BUN: blood urea nitrogen; HLA: human leukocyte antigen; DEXA: dual-energy x-ray absorptiometry.

* This table provides an overview of testing of potential lung transplant candidates, but the exact tests performed depend on the specific patient's history and the practice of the individual lung transplant center.

¶ Some centers use a noninvasive test for cardiac ischemia in patients without risk factors for coronary disease and reserve catheterization for patients with risk factors or a positive noninvasive test.

Δ Testing varies among centers based on geographic location or clinical history. As examples, some centers may only assess brain natriuretic peptide in patients with pulmonary hypertension, Coccidioides serology in patients who have resided in the southwestern United States, TST in patients from TB endemic areas, or tests for gastroesophageal reflux in patients with a history of reflux or symptoms suggestive of esophageal dysmotility.
Graphic 106946 Version 2.0

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