By Richard T. Maziarz MD (auth.), Richard T. Maziarz, Susan Slater (eds.)
Developed via the Blood and Marrow Transplant crew at Oregon healthiness & technology collage Knight melanoma Institute, this pocket advisor offers clinical administration directions for hematopoietic stem telephone transplant sufferers from the instant in their preliminary session during the transplant method. - It comprises symptoms for transplant, crucial info for patient/donor review; - ideas for addressing issues in the course of and after transplant; - long-term stick with up care; - step by step directions for universal tactics and documentation guidance. a vital instrument for companies, this advisor offers a multidisciplinary method of info very important for delivering caliber take care of your patients.
Read Online or Download Blood and Marrow Transplant Handbook: Comprehensive Guide for Patient Care PDF
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Additional resources for Blood and Marrow Transplant Handbook: Comprehensive Guide for Patient Care
Patient care points i. MUGA or echocardiogram pretreatment with baseline LVEF >45%. ii. Adequately hydrate patient for 12 h prior to cyclophosphamide dose with NS. The cyclophosphamide should run concurrently with MESNA to protect bladder. The patient is asked to void every 1–2 h during cyclophosphamide administration. Check for hematuria with each void. If the patient should develop hemorrhagic cystitis, continuous bladder irrigation is indicated. iii. Diurese to maintain euvolemia. iv. Monitor daily intake/output and weights.
S. (2009). Busulfan in hematopoietic stem cell transplantation. Biol Blood Marrow Transplant, 15:523–536. , et al. (2009). Reduced intensity conditioning regimen workshop: defining the dose spectrum. Report of a workshop convened by the Center for International Blood and Marrow Transplant Research. Biol Blood Marrow Transplant, 15:367–369. , et al. (2009). Low-dose total body irradiation-based regimens CONDITIONING REGIMENS 49 as preparative regimens for allogeneic haematopoietic cell transplantation in acute myelogenous leukemia.
Thyroid dysfunction, usually seen late v. Nausea/vomiting CONDITIONING REGIMENS 47 vi. CNS toxicity, leukoencephalopathy vii. Acute pneumonitis/alveolar hemorrhage viii. Fatigue ix. Growth failure x. Gonadal failure xi. Diarrhea c. Patient care points i. Premed before each treatment ii. Shield lungs as per protocol iii. 5 ANTIEMETIC DOSING Agent Risk Antiemetic regimen Comments Antithymocyte globulin Busulfan Low None needed Carboplatin High Carmustine High Cyclophosphamide High Other premedications required Dexamethasone 20 mg daily with once daily ondansetron Dexamethasone 20 mg daily with each daily ondansetron Dexamethasone 20 mg daily with each daily ondansetron.