The goal of a lung transplant is to preserve the patient's life and to improve the quality of life if possible. Rodrigue et al listed signs and symptoms seen in lung transplant recipients 3 to 5 years after a lung transplant. The authors are from the Univeristy of Florida.


Condition that may impact the patient's quality of life:

(1) graft-vs-host disease (GVHD)

(2) rejection

(3) immunosuppression with increased risk for infection

(4) pulmonary disease recurrence

(5) adverse effects of polypharmacy


Clinical findings seen in > 50% of patients"

(1) mood disorder, including depression

(2) fatigue

(3) sleep disorders

(4) pain

(5) tremors

(6) headaches

(7) problems with memory and/or concentration

(8) change in body and/or facial appearance

(9) fragile skin and/or easy bruisability

(10) swollen ankles

(11) impaired vision

(12) descreased libido and/or sexual performance


Clinical findings in 20 to 50% of patients:

(1) anxiety

(2) difficulty breathing

(3) heart palpitations

(4) fevers


Active questioning of the patient about specific findings may yield more information than passively waiting for the patient to report a problem.


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