Table 4.7.

Preoperative orders for intestinal recipient

Orders
Labs on admission
Chest X-ray (2 views)
Stool culture	Ova and parasites, fecal leukocytes, Clostridium difficile, fungus, bacteria
Blood cultures × 2
Nasal swab culture for r/o MRSA
CMV IgG, EBV IgG
Urine cultures
ImmuKnow blood test
Final crossmatch
Type and cross, 4 units
Golytely Prep	@16:00 before surgery
Selective digestive contamination	Nystatin 500,000 U PO BID + Tobramycin 80 mg PO BID + Polimixin B 125 mg PO BID
Antibiotics	Piperacillin/Tazobactam 3.375 g IV once + Vancomycin 1 g IV once + Liposomal Amphotericin B (10 mg/kg) IV once
Or if allergic to penicillin	Aztreonam 1 g IV once + Vancomycin 1 g IV once + Liposomal Amphotericin B (10 mg/kg) IV once
Immunosuppression induction	Dexamethasone 100 mg IV once, or
	Methylprednisolone 500 mg IV once
	Anti-thymocite globulin 1.5 mg/kg once

MRSA methycillin resistant Staphylococcus aureus, CMV cytomegalovirus, EBV Epstein-Barr virus