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    Monitoring and follow-up

    Lab studies

    Periodically, you will need to have blood chemistries and other lab studies done. This is a way to monitor for rejection but we will also be monitoring drug levels. Remember, when blood is drawn, it should be done first thing in the morning, before you take your morning dose of Prograf, cyclosporine, or Rapamune.

    Self monitoring

    You will be asked to measure your temperature, weight, blood pressure and liquid intake and output on a daily basis for a few weeks once you are home.

    Temperature
    Your temperature should be taken at the same time each day and whenever you feel feverish. If your temperature is above 100ºF or 38ºC, call your transplant physician. Fever may indicate that you have an infection or rejection episode. Do not take any medications that can lower your temperature, such as aspirin or Tylenol,® unless instructed to do so by your transplant physician.

    Weight
    Weigh yourself at the same time each day, preferably in the morning. Weigh yourself with the same type of clothing on and on the same scale each day. A weight gain of two pounds a day for two days is significant and needs to be reported to the transplant physician.

    Blood pressure
    Your blood pressure may need to be measured and recorded daily. You may need to purchase a blood pressure cuff if you do not already have one or go to your local pharmacy/supermarket if they have a blood pressure machine. We generally recommend the digital read-out cuff because it is more convenient. Please keep your blood pressure records and bring them to the clinic with you.

    Intake and output
    For the first few weeks after transplant, you should keep track of how much fluid you take in and how much urine you make each day. The transplant coordinator or physician will tell you if there is a minimum or maximum amount you should drink. It is important to let us know if your urine output drops dramatically from one day to the next.

    Blood sugar
    If you are diabetic, expect your blood sugars to be elevated. You will need to check your blood sugar four times a day for the first month or so until the prednisone dose is reduced. Be sure to keep a record of your blood sugars and call the transplant coordinator if your blood sugar is more than 400 or less than 70.