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현재 페이지 위치 : Organ Transplantation Center > Transplant Program > Heart, Lung Transplant > Lung Transplant > Post-transplant Care

Post-transplant Care

Exercise and Daily Life

The patient can return to his/her normal life after discharge. First, start exercise by walking slowly and increase its intensity and time gradually. Walking twice or three times a day for an hour in total is recommended. As an easy way to check the pulmonary function, the patient uses a peak flow meter. Put your mouth on the device and blow it as hard as possible to check your maximum exhalation. This device is given upon discharge and the patient is asked to record the daily result.
This record helps assess the improvement of pulmonary functions on outpatient visits. Also, to avoid infections, please do not visit crowded places like theaters and wear a mask outside.

Immunosuppressants

The patient needs to continuously use immunosuppressants and their dose is adjusted based on their blood level and the severity of rejection reactions. Common immunosuppressants include tacrolimus, Cellcept, prednisolone, etc.

  1. Tacrobell or Prograf (Tacrolimus, FK506)
    : This drug reduces rejection reactions by suppressing activities of white blood cells. The dose is adjusted based on regular blood level tests. As this medication may be harmful to fetuses and breast-fed babies, please consult the Center.
  2. Cellcept (Mycophenolate)
    : Cellcept controls rejection reactions by suppressing activities of white blood cells. Its daily dose is determined based on the patient’s weight and white blood cell count. If the test shows that the count is too low, the dose can be lowered.
  3. Prednisolone
    : Prednisolone is a kind of steroid and helps prevent rejection reactions by suppressing immunity. Its starting dose is high and then the dose is decreased gradually. This is a norm, but also subject to change depending on the situation.

Regular Outpatient Visit

The patient is asked to visit the outpatient clinic a week after discharge. On every visit, the patient takes a blood test, chest X-ray, and a pulmonary function test. As the test is to see the blood level of immunosuppressants, please do not take immunosuppressants before the visit and use them after the blood test. While the visits should be made once every two weeks during the first three months and once a month from then on for the first year, the schedule is subject to change in case of emergency.

When You Face Any of the Following, Please Contact the Center.

  • Fever over 38.0℃
  • Constant coughing
  • More sputum/yellow or green sputum
  • The peak flow repeatedly +10% lower than usual
  • Shortness of breath, severe dizziness, chill, and unusual fatigue
  • General swelling and cold-like symptoms
  • Painful or burning urination
  • Injured in an accident
  • Painful or festering teeth or gum
  • Diarrhea or vomiting

SMC’s Division of Lung Transplants
Thoracic surgeons - Gwan-min Kim, Yong Soo Choi, Hong Kwan Kim
Pulmonary specialists - Hojoong Kim, Man Pyo Chung, Gee Young Suh
Infectious disease specialist - Kyong Ran Peck
Coordinator - Soo-yeon Kim