Non-Hodgkin Lymphoma
Blood Products/Aplastic Anemia
Viral Complications
Viral complications of HSCT
Viral Complications
Cardiopulmonary complications of HSCT
100
Non-Hodgkin Lymphoma occurs primarily in what two cells lines
what are B cells and T cells
100
How long is blood consent good for?
What is 1 year
100
A liver infection caused by a virus. This viral infection has a vaccine and is not A.
What is Hepatitis B
100
This virus begins with a prodromal phase characterized by pain, itching, numbness or tingling. A few days later, a unilateral maculopapular vesicular rash appears.
What is Herpes Zoster
100
This viral infection can occur in early childhood asymptomatically however can remain present in the kidneys. If immunocompromised can activate causing dysuria, hematuria, nephropathy, ureteral stenosis, and unexplained fevers.
What is BK Virus
100
These conditions can occur during or after HSCT arrhythmias, hyper/hypotension, tamponade, fibrosis, pericarditis, pericardial effusions.
What are cardiac complications
200
The most common indolent lymphoma
What is Follicular Lymphoma
200
How often does blood product refusal need to be signed
What is every hospitalization/ occurence
200
If the patient has HHV6 what (2) antivirals are considered first line therapy.
What is Ganciclovir and Foscarnet
200
This virus primarily causes cold sores and fever blisters around the mouth and face
What is HSV- 1. Herpes Simplex Virus type 1
200
What are the screening tests for BK Virus
What is Blood and urine tests
200
This cardiac complication can commonly occur after starting Tacrolimus.
What is hypertension.
300
These types of lymphomas are urgently managed and have shorter survival times measured in months. If treated most relapses occur within the first 2 years after therapy.
What is aggressive/ very aggressive lymphoma
300
A type and screen sample is good for how many days?
What is 3 days
300
Foscarnet is used to treat what (2) viral infections?
What is CMV and HHV6.
300
What type of precautions is required for a patient with vericella that has open lesions.
What is contact AND Airborne precautions
300
This medication is ordered to be given with Cidofovir. It is administered pre Cidofovir and an additional two doses are given post
What is Probenecid
300
Patient is receiving a allo HSCT. When placed on telemetry you notice this rhythm. Identify this rhythm
What is AFib
400
DLBCL is considered what type of lymphoma?
What is aggressive lymphoma
400
What is the time frame for transfusion blood
what is 2-4 hours
400
If the patient is CMV sero-negative. What type of blood products can they receive?
What is only CMV negative products
400
If the patient is positive for CMV infection what type of bloods products can they receive?
What is CMV safe blood products
400
This virus most commonly presents as a respiratory illness, it can range from PNA, croup and bronchitis
What is Adenovirus
400
Patient went to the bathroom and upon returning to the bed calls you to the room and says they are having chest pain. You place the patient on telemetry. You notice this rhythm. Identify the rhythm
What is SVT.
500
what are B symptoms?
what is Fever, night sweats and weight loss
500
what type of transplant is indicated for Aplastic Anemia?
Is this fresh or cryopreserved?
What is Allogenic Bone marrow transplant
Fresh
500
What is the Antiviral prophylaxis for HSV/VZV.
What is Acyclovir, Valcyclovir.
500
After viral reactivation, Rituximab is given to reduce this viral load.
What is EBV reactivation
500
This is a weekly infusion for the treatment of BK virus
What is Cidofovir
500
This is the name of the preservative in a cryopreserved HSCT.
What is DMSO
600
These types of transplants are indicated for some non-Hodgkin lymphomas
What are auto or allogenic HSCTs
600
Aplastic anemia occurs when?
What is your body stops producing new blood cells
600
Foscarnet pre hydration is NS 1000 ml over how many hours?
Foscarnet post hydration is NS 1000ml over how many hours?
What is pre hydration is NS 1000 ml over 1 hr
Post hydration NS 1000ml over 2 hrs
600
Indicate if Infection or Disease: CMV viral replication in the blood via polymerase chain reaction (PCR) with the absence of organ-specific signs and symptoms.
What is CMV Infection
600
This condition is often caused by BK virus causing painful urination
What is hemorrhagic Cystitis
600
patient has diminished breath sounds after laying in bed. After introducing the Incentive spirometer their breath sounds return to normal. What pulmonary complication is this?
What is Atelectasis
700
These 4 CAR-T products can be given to non Hodgkin lymphoma patients
What is Kymriah, Yescarta, Tecartus, Breyanzi
700
How long do you have to stay with patient after initiating a blood transfusion
what is a minimum of 15 mins.
700
This viral infection is very common occuring in 80-90% of the worlds population. Contracting this infection puts you at risk of malignancies.
What is Epstein-Bar Virus
700
Daily Double!!!
What are the 6 most common Viral infections in HSCT pts.
What is HSV/VZV
CMV
HHv6EBV
BK virus
Adenovirus
700
If hydration boluses are not given to patients receiving nephrotoxic medications this condition can happen.
what is AKI
700
This patient has received a total of 2L of fluid after his HSCT. You assess him and note that he is sob, and dyspneic and has orthopnea. CXR shows fluid in the lungs. The patient was placed on 2 L NC and 40 mg lasix was ordered and given. Name this condition.
What is Pulmonary Edema.
800
A majority of patients with DLBCL report this symptom
What is a painless lump or mass in the neck or groin
800
DAILY DOUBLE!
name the steps of a transfusion reaction
Step 1: Stop the infusion
Step 2:Flush with NS
Step 3: Perfom VS and assess pt
Step 4:Re verify patient and blood product, bag and tag
Step 5: Document amount of product transfused
Step 6: Notify the MD, Blood bank, and charge RN
Step 7: Collect the blood samples, transfusion reaction sheet and blood product and walk down to blood bank
800
This virus has reactivated. The presents with a sudden fever as high as 103 for 3-5 days. sore throat, swollen neck lymph nodes, decreased appetite and upper respiratory infections (runny nose, nonproductive cough.) What is the name of the virus?
What is HHV6
800
Indicate if Infection or Disease: Evidence of CMV viral replication in the blood via PCR with the presence of organ-specific signs and symptoms (end-organ damage)
What is CMV Disease
800
This condition can occur due to liver injury, Busulfan use and can be potentially fatal.
What is Sinusoidal obstruction syndrome (SOS)or VOD
800
This condition occurs during the time of neutrophil recovery in auto HSCT. It can cause capillary leakage.
What is engraftment syndrome.