Nurse management or posttransplant hypertension in liver transplant patients

L. Schwartz, J. Augustine, J. Raymer, V. Canzanello, S. Taler, S. Textor

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Hypertension develops soon after organ transplantation using cyclosporine- or FK506-based immunosuppression. Sustained rises in blood pressure require intervention to reduce the risk of intracranial bleeding and other cardiovascular complications. Antihypertensive treatment is complicated by reduced renal function and potential interference with absorption and/or metabolism of cyclosporine or FK506. To manage early and long-term hypertension related to immunosuppression with cyclosporine or FK506 and prednisone following orthotopic liver transplantation, a comprehensive nurse-managed hypertension clinic was developed. Blood pressure, heart rate, and antihypertensive and immunosuppressive regimens were evaluated according to a standard protocol at 1, 4, 12, 24, and 36 months after orthotopic liver transplantation. Data indicate that posttransplantation hyper tension develops within the first months after orthotopic liver transplantation and persists indefinitely. If comprehensively managed by the hypertension nurse-clinician, the percentage of controlled hypertension patients can increase over time.

Original languageEnglish (US)
Pages (from-to)139-144
Number of pages6
JournalJournal of Transplant Coordination
Volume6
Issue number3
DOIs
StatePublished - Jan 1 1996

ASJC Scopus subject areas

  • Transplantation

Fingerprint Dive into the research topics of 'Nurse management or posttransplant hypertension in liver transplant patients'. Together they form a unique fingerprint.

  • Cite this