When are lab studies indicated in liver transplant patients?

Updated: Dec 31, 2017
  • Author: Lemi Luu, MD, RDMS, FACEP, FAAEM; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Answer

Laboratory studies are indicated on the basis of the presenting complaint. In all but minor complaints, complete blood count, electrolyte panel, blood urea nitrogen, creatinine, and liver function panel are ordered to assess for evidence of rejection, effects of azathioprine on bone marrow function, and effects of cyclosporine or tacrolimus on renal function. Obtain a cyclosporine or tacrolimus level if renal dysfunction is identified or if rejection is suspected. If infection is suspected, obtain cultures of blood, urine, pharynx, and/or sputum.


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