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BMT Flashcards

(36 cards)

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?

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?

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
Notify your resource nurse if your patients I's and O's are below
1000mL
26
While a patient is neutropenic, you need to notify the charge nurse when, - Temp - SBP/MAP - HR - RR - O2 - If the patient experiences ....
``` 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
When is the dressing removed for a new tunneled CVC?
Changed on day 7 and completely removed by day 14
28
What do you need to include in your documentation regarding a cvc
- appearance - biopatch present - date on dressing - patency of lumens - pt tolerance of line being cleaned - if caps were changed NS
29
What units are the patients not required to wear a mask?
South and North because they are heap filtered enviornments
30
What medications do we give to prevent GVHD?
Tacrolimus and Cyclosporine
31
When is Tac initated?
Prior to transplant (Day 0) and at least 247 hours
32
It is crucial that no immunosuppressive agents including steroids be given until _____ after the completion of the post transplantation of Cyclosporin.
24 Hours
33
When do Tac and Cellcept begin?
Day +5 ( 24 hours after the completion of Cyclophosphamide
34
What is the major adverse reaction that we look for when patients are taking Tac or Cyclosporin
PRES *** Hypomagnesemia Hyperkalemia
35
Oral Tac is given at what times
0900/2100 | - give anti-emetics prior to medication
36
What 2 things are compatible with Tac and CSA?
1. TPN | 2. Narcotics