The hospital stay after a kidney transplant typically lasts between 5 and 7 days, though if any complications arise, you may need to stay longer. While every patient’s experience is unique, there are a few common aspects to expect during your recovery period in the hospital.
🚰 Catheters and IV Fluids
Upon arrival in the recovery room, you will likely have a catheter inserted to help drain urine. You’ll also be given IV fluids to keep you hydrated, and it’s important that you drink water as well. They will closely monitor how much fluid is leaving your body, which may be a very large amount at first. This is normal as your new kidney starts to work and your body adjusts.
🩺 Lines and Monitoring
During your stay, you may have several lines in place. One is used to take blood samples, while others will administer medications or fluids. It’s common to experience some bruising around the IV sites, which is a natural side effect of having multiple lines in place. A bandage will cover your surgical incision to keep it clean and protected.
📊 Vital Signs and Blood Work
Your vital signs will be checked regularly. Your blood pressure will be taken at least four times a day, and your blood sugar levels may be checked with a finger prick test. If you were not diabetic before the transplant, this blood sugar monitoring will usually start around days 2 or 3 of your stay.
⚖️ Weight Monitoring
They will weigh you regularly, often once a day, to understand how much fluid your body is holding. Doctors usually aim for a higher weight during this period to avoid dehydration, which could put strain on your new kidney. Monitoring your weight helps ensure that your body is adjusting properly and that your kidney is receiving the necessary fluids for optimal function.
🚶♂️ Moving Around
In the early days, your healthcare team will encourage you to stand or sit up for short periods to reduce the risk of blood clots. After a few days, you’ll likely be able to walk around. Pain management is also a key focus of your recovery—your doctors will provide pain relief both through IV medications and oral painkillers.
Though you may be feeling overwhelmed at times, remember that the goal is to help you recover and adjust to your new kidney as comfortably as possible.
💡 Top Tip: Brush Your Teeth ASAP
After surgery, you’ll likely have a breathing tube in place for a period of time, which can leave your throat feeling dry or sore. One of the best things you can do to help ease this discomfort is to brush your teeth as soon as you’re able. This will help to soothe your throat, refresh your mouth, and make you feel more comfortable as you begin your recovery journey. I didn’t do this but when I did brush my teeth my throat felt a lot better.
🏡 Preparing to Leave the Hospital
As your hospital stay draws to a close, you’ll be given a detailed briefing on the medications you will need to take at home. You will likely also receive a drug card to help you understand what each medication is for and when it should be taken.
🥗 Dietary Changes
Before leaving the hospital, a dietitian will speak with you to explain any necessary dietary changes and emphasize the aspects that matter most to you. In the initial weeks and months after your transplant, you will need to focus on a higher protein intake to support your body’s healing and to ensure the best possible recovery. Additionally, you may need to limit your salt intake to reduce strain on your kidneys. Your dietitian will guide you through these adjustments based on your specific needs.
💖 Support System
Perhaps the most important thing to prepare before leaving the hospital is ensuring you have a strong support system in place. You’ll want someone to assist you with daily tasks, especially in the early days of your recovery, when you may feel physically and mentally drained.
I will always be grateful for the incredible support of my loved one during this time. They drove me home slowly, being mindful to avoid bumps in the road, which could irritate the incision site. They helped me into bed, kept me company, and made me tea to lift my spirits. It was a huge relief knowing that they were there to support me through this process, particularly after a few tough days in the hospital.
🍴 Preparing Meals in Advance
Having meals prepared in advance also proved to be a lifesaver. My support person had witnessed a lot of the surgery that I had been unaware of due to the strong medications I was on. The experience left them physically and emotionally exhausted, and I was so thankful that we had meals ready so they wouldn’t have to worry about cooking.
Make sure you have a clear plan for after discharge. Your support person should be prepared for the journey ahead, as their role in your recovery is essential for both your physical and emotional well-being.