NAME

AGE

SEX

RESIDENT OCCUPATION SMOKING

ABSTINANCE

HT

WT

BMI

DM

HT Thiazide diuretics

ANTI HYPERTENSIVE Loop diuretic Potassium-sparing diuretic -blockersCombined / blockers Angiotensin II antagonists

DYSPNEA FROTHY SPUTUM CLAUDICATIONHEST PAIN C vasodilator I

NYHA CLASS II

NYHA CLASS III IV

EDEMAAMPUTATION STROKE

TIA

ASPIRIN

CLOPIDROGEL H/O NATIVE KIDNEY NEPHRECTOMY H/O CARDIAC ARREST DURATION OF PRE TRANS. ESRD

PULSE

BP SYSTOLIC DIASTOLIC

R/S

CVS ARRYTHEMIA HEPATOMEGALY

SPLEENOMEGALY RAISED JVP DIALYSIS DURATIONAVF

Hb

PCV

TLC

PLATELET

UREA CREATININE SODIUM POTASSIUM CALCIUMURIC ACID PHOSPHORUS CHLORIDE

ALBUMIN HOMOCYSTEIN PROTEINURIA

LIPID PROFILE TGL T CHOLESTEROLE LDL VLDL

S PTH HDL

S IRON

TIBC

USG

CXR

ECG

2D ECHO LVEF LV SIZE LV COMPLIANCE RV SYSTOLIC FUNCTION LV SYSTOLIC FUNCTION CVP

2D ECHO MAP SVR MR/MS AR/AS TR/TS PR/PS RMWA EFFUSION

DOB STRESS ECHO THALIUM SCANNGIOGRAPHY A PELVIC DOPPLER CLOT PAH

REVASCULARIZATION REPLACEMENT CHF VALVE

BLOOD GROUP KIDNEY DISEASE

DONOR AGED-O-OPERATION ARTERY BIOPSY ILIAC DELAY GRAFT FUNCTION

POST OP ACUTE REJECTION STEROID

IMMUNOSURRESANT

Cyclosporine Tacrolimus Sirolimus

UNOSURRESANT

POST OP DIALYSIS PLASMAPHERESIS ATG

Mycophenolate mofetil Azathioprine

INDUCTION LVEF

2D ECHO LV SIZE COMPLIANCESYSTOLIC FUNCTION LV RV LV SYSTOLIC FUNCTION

CVP

MAP

SVR

MR/MS

AR/AS

TR/TS

PR/PS

RMWA

EFFUSION

POST OP LIPID PROFILE 5th DAY CLOT TGL T CHOLESTEROLE LDL VLDL HDL

POST OP LIPID PROFILE 3 TGL CHOLESTEROLE T

ST OP LIPID PROFILE 3 MTHS LDL VLDL HDL

STATIN FIBRATE POST OP DM CONTROL 3 MTHS YES NO

ALLOGRAFT FUNCTION S. CREATININE LEVEL ON DISCHARGE1 MTH 2MTH 3MTH 6MTH

POST O Thiazide diuretics diuretic Loop

POST OP ANTI HYPERTENSIVE Potassium-sparing diuretic Combined / blockers -blockers Angiotensin II antagonists vasodilator

2D ECHO LVEF LV SIZE LV COMPLIANCE LV SYSTOLIC FUNCTION RV SYSTOLIC FUNCTION CVP MAP SVR MR/MS

AR/AS

TR/TS

PR/PS

RMWA

EFFUSION CLOT