Recipient: {{age}} {{sex}} with {{ckd_stage}} due to {{primary_renal_diagnosis}} on {{dialysis_modality}} via {{dialysis_access}} at with a failing transplant, referred from referred from {{referring_unit}}.
Donor type: {{donor_type}}
Operation details: Transplant on {{TxDate | date:"dd/MM/yyyy"}} into the {{op_side}} side. Ureteric anastomosis over JJ stent. Skin closed with {{skin_closure}}. Cold ischaemic time {{cit}}. Peritoneal dialysis catheter removed at {{pd_catheter_removed}} by {{pd_removal}} technique. Skin closure with {{pd_suture}}. Exit site left to heal by secondary intention.
Histocompatibility: Blood group {{donor_abo}}{{donor_rh}} to {{recipient_abo}}{{recipient_rh}}. HLA mismatch {{mismatch}}. Recipient cRF {{crf}}%. {{xm_type}}. {{immunology_comments}} {{induction}} induction. {{immunosuppression}} immunosuppression regime. CMV {{donor_cmv}}/{{recipient_cmv}}. EBV {{donor_ebv}}/{{recipient_ebv}}.
Early function: immediate function immediate function, although one post-op dialysis <24 hours post-op delayed graft function, last dialysis on {{lastDx | date:"dd/MM/yyyy"}}. DGF duration {{dgf_duration | date:"d"}} days.
Biopsy: {{Biopsy}}
Biopsy comments: {{BiopsyNotes}}
Rejection: No. Banff grade {{rejectionType}}, no treatment needed treated with IV methylprednisolone and ATG ATG and plasma exchange
TCVC removal: {{TCVC_removed}}
Peritoneal dialysis catheter: RemovedNot yet removed.
Creatinine on discharge: {{creat}}
[[ INSERT FREE TEXT COMMENTS ON POST-TRANSPLANT COURSE INCLUDING COMPLICATIONS ]]
Follow-up: initial follow-up in acute transplant clinic in Glasgow and Dumfries renal clinic
Special actions for clinic: None {{clinic_actions}}
Actions for GP: Please see appended list of medications and add to repeat prescription. In NHS Scotland immunosuppression is prescribed by GP but monitored by the renal clinics and we will advise of dose changes. Tacrolimus should be prescribed by brand name ({{tac}} in this case) and please specify for pharmacist to dispense mixture of 0.5mg, 1mg and 5mg tablets to allow for dose adjustments. {{gp_actions}}