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Nutritional Management of Renal Disease
Book Reviewed in This Issue:
Medical Management of Kidney Transplantation
Matthew R. Weir, Editor
First Edition 2005
Lippincott, Williams & Wilkins
Handbook of Kidney Transplantation
Gabriel M. Danovitch
Fourth Edition 2004
Lippincott, Williams & Wilkins
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Critical Care Nephrology
Medical Management of Kidney Transplantation
Matthew R. Weir, Editor
2005, First Edition
Lippincott, Williams & Wilkins
530 Walnut Street
Philadelphia, PA 19106
www.lww.com
ISBN: 0-7817-4491-1
561 pages, hard bound, $129
The
editor’s stated purpose is to provide the clinician with a
comprehensive resource to address the complex medical problems
encountered by renal transplant recipients. He notes that this is a
unique population with complications related to a history of kidney
disease, immunosuppression, and other transplant-related concerns. Care
of these patients today is likely to be shared between generalists and
transplant specialists. Accordingly, this book is offered as a
fundamental reference for the practitioner needing an increased
perspective on the complexities of renal transplantation.
The
book begins with a thorough discussion of pretransplant issues,
including recipient evaluation and management of the waiting list.
Inpatient care and surgical considerations are described in the next
section on transplantation. By far, however, the largest focus is on
post-transplant care and complications. The chapters which address
viral, bacterial, and fungal infections in transplant recipients in the
clinical setting are especially helpful. Similarly, the information
regarding hypertension, hyperlipidemia, and posttransplant diabetes
mellitus are widely applicable to the patient population.
Content
throughout the book is well presented and organized. Tables and figures
are well placed and supplement the text. The book is an excellent
reference for all practitioners seeking to gain a better understanding
of the medical management of this complex patient group.
Anne Anthony, MSN, RN, CCTC
Transplant Coordinator
Transplant Center
Medical University of SC
Charleston, SC
Handbook of Kidney Transplantation
Gabriel M. Danovitch
Fourth edition, 2004
Lippincott Williams and Wilkins
530 Walnut Street
Philadelphia, PA 19106
www.lww.com
ISBN 0-7817-5322-8
Soft cover, 542 pages, $49.95
The
fourth edition has been updated to reflect the most current knowledge
and practice within the kidney transplant field. Its aim is to make
this knowledge and clinical practice fully accessible to those
entrusted with the care of renal transplant patients.
In summary, the book reviews all aspects of kidney and pancreas
transplantation from the evaluation of a patient through
posttransplantation problems, whether technical or infectious in
nature. It also reviews legal and ethical issues.
The book begins by reviewing renal failure statistics and renal
transplantation rates for the U.S. as well as other countries. It
summarizes renal replacement options, including dialysis and
transplantation.
A medication section expands on the use of immunosuppression regiments
with different protocols and specific recommendations. The medications
include mode of action, administration, dosing, and potential side
effects. There is an explanation of acute and late rejection, and
antibody mediated rejection with treatment recommendations.
Evaluation of the renal transplant candidate covers specific renal
conditions that may have led to the renal failure and other
comorbidities which may impact on the outcome of the transplant,
including malignancy, infections, and urologic evaluations.
Hypercoagulable states, renal osteodystrophy, and metabolic bone
disease are discussed.
A section covers specific operation and surgical complications,
including bleeding, graft thrombosis, renal artery stenosis, urine
leaks, and ureteral obstructions. The graphics showing the area of
anastomosis in renal transplant would be very helpful to the new
nonsurgical clinician or nurse.
The section on living related renal donations and evaluation of
potential donors includes the psychosocial assessment, exclusion
criteria, risks of donation, assessment of surgical risk, and
contraindications to donating. Explanations of both the open
nephrectomy and laparoscopic methods are provided. Long-term
postnephrectomy issues include renal function, pregnancy, employment,
and long-term medical care.
This edition expands the posttransplant period from 2 to 3 months. The
early postoperative period discusses graft dysfunction, delayed graft
function, posttransplant acute tubular necrosis, biopsies, and other
common laboratory abnormalities. The long-term posttransplant
management covers infections, cause of death after transplantation,
malignancies, rejections, and the role of patient noncompliance.
Reducing immunosuppression after long-term transplants and treatment of
other possible comorbidities are discussed. I thought this section was
done well with charts and listings. For example, one table uses a time
line of when to expect posttransplant infections or organisms.
There is a whole section on diagnostic imaging. Pictures of sonograms
and nuclear images from emptying studies increase understanding of what
is actually happening within the transplanted kidney. Likewise, there
is a pathology section with good pictures of pathology slides.
Specialty sections include kidney and pancreas transplants in the
diabetic patient with highlights on disease management, other
comorbidities, secondary diabetic complications, and quality of life
issues. Pediatric renal transplantation discusses access and etiology
of transplantation issues and goes into some specific disease
etiologies as well as reoccurrence rates and treatment protocols for
pediatric patients. There is a good section of ethical and legal issues
in kidney transplant and a section on nutrition in the pre and post
transplantation period.
Throughout the book, illustrations, graphs, charts, and photographs
compliment the text and are useful for the novice or seasoned
clinician. Nurses or other medical personnel working with this
population would find this a very well organized, easily read book
filled with useful information.
Lee Erbe, FNP-C
Nurse Practitioner (former position)
Renal /Pancreas Transplant
Medical University of South Carolina
Faculty (current position)
Trident Technical College
Charleston, SC
| Book and Media Reviews are
published in each issue of the Nephrology Nursing Journal. If you are
interested in reviewing materials for this column, contact Deborah
Brooks, department editor, through the ANNA National Office; East Holly
Avenue/Box 56; Pitman, NJ 08071-0056; (856) 256-2320. You may also log
onto this column at nephrologynursingjournal.net (click on Department
link) and email your comments to the Department Editor (see Discussion
Area).The opinions and assertions contained herein are the private
views of the contributors and do not necessarily reflect the views of
the American Nephrology Nurses’ Association. |
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