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PSL BMT > BMT > Flashcards

BMT Flashcards

1
Q

What is the generic name for Tacrolimus?

A

Prograf

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2
Q

How is Tac designated on the pts CVC?

A

Light green tape

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3
Q

What kind of tubing is required for Tac

A

Nitroglycerin tubing/ PVC Tubing

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4
Q

What time of solution do you run after Tac runs out?

A

D5W 50mL

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5
Q

When do non-haploidentical transplant patients have their Tac levels drawn?

A

Monday, Wednesday, and Friday until day 14. After day 14 levels are drawn every Monday and Thursday

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6
Q

When do haploidentical transplant ptients have their Tac levels drawn?

A

Monday, Wednesday, and Friday from day 7- day 21. After day 21 levels are drawn on Monday and Thursday.

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7
Q

What is Tac/ Prograf

A

Immunosuppressant for allogeneic BMT patients/ Helps and or prevents GVHD

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8
Q

What is the generic name for Mycophenolate Mofetil (MMF)?

A

CellCept

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9
Q

When giving Cellcept IV you need to change to tubing how frequently?

A

New tubing with each dose

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10
Q

What type of fluid is compatible with IV Cellcept?

A

D5W

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11
Q

Where do you dispose of this drug and IV TUBING?

A

Dispose in the chemo bin

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12
Q

What is Methotrexate?

A

It is a chemotherapeutic drug used as an immunosuppressant and can only be given by a chemotherapy certified nurse

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13
Q

What days is Methotrexate given?

A

on Day +1, +3, +6, +11

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14
Q

What is special about Busulfan?

A

Pharmacokinetics, will infuse through a lumen with red tape. Must be a chemo-certified nurse.

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15
Q

How often do you need to complete a chart assessement?

A

Every 12 hours

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16
Q

How often do you monitor VS?

A

Every 4 hours

17
Q

When do daily orthostatics need to be done by?

A

10:00

18
Q

When do you need to chart I’s and O’s?

A

before 0600 and 1800

19
Q

NS: When is all IV tubing changed?

A

Every Monday and Thursdays, use stickers.

20
Q

NS: How often are cross matched samples drawn?

A

Every 72 hours

21
Q

When are blood products and electrolytes replaced?

A

Iniated by the night nurses.

22
Q

NS: When do you daily weights need to be entered into the computer system?

A

by midnight

23
Q

NS: When are patient labs typically drawn?

A

around midnight

24
Q

If patients will be having a transplant the next day they will need……

A

A current crossmatch

25
Q

Notify your resource nurse if your patients I’s and O’s are below

A

1000mL

26
Q

While a patient is neutropenic, you need to notify the charge nurse when,

  • Temp
  • SBP/MAP
  • HR
  • RR
  • O2
  • If the patient experiences ….
A 
Temp: 101.3
SBP/MAP: SBP > 180 MAP < 60
HR: <50 OR >120
RR: <9 OR >30
O2: <9 OR >30 
CHILLS OR RIGORS
27
Q

When is the dressing removed for a new tunneled CVC?

A

Changed on day 7 and completely removed by day 14

28
Q

What do you need to include in your documentation regarding a cvc

A
  • appearance
  • biopatch present
  • date on dressing
  • patency of lumens
  • pt tolerance of line being cleaned
  • if caps were changed NS
29
Q

What units are the patients not required to wear a mask?

A

South and North because they are heap filtered enviornments

30
Q

What medications do we give to prevent GVHD?

A

Tacrolimus and Cyclosporine

31
Q

When is Tac initated?

A

Prior to transplant (Day 0) and at least 247 hours

32
Q

It is crucial that no immunosuppressive agents including steroids be given until _____ after the completion of the post transplantation of Cyclosporin.

A

24 Hours

33
Q

When do Tac and Cellcept begin?

A

Day +5 ( 24 hours after the completion of Cyclophosphamide

34
Q

What is the major adverse reaction that we look for when patients are taking Tac or Cyclosporin

A

PRES ***
Hypomagnesemia
Hyperkalemia

35
Q

Oral Tac is given at what times

A

0900/2100

- give anti-emetics prior to medication

36
Q

What 2 things are compatible with Tac and CSA?

A
  1. TPN

2. Narcotics

PSL BMT (1 decks)

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