Eww...you have cooties
Frequent hand washing or alcohol based hand sanitizer
HEPA filter room
Avoid fresh flowers
Daily showers
Daily linen change and high touch area cleaning
What is neutropenic precautions?
When a patient receives stem cells from a genetically similar, but not identical, donor. Often a sibling, parent but can be unrelated.
What is an allogeneic stem cell transplant?
Complete vitals on febrile HCTT patient before heating up the guy in room 12's dinner
What is prioritizing tasks?
Auto-Reduce tumor burden
Allo-Suppress immune system to allow for engraftment of donor cells
What is reason for high dose chemotherapy before stem cell transplant?
Notify RN/provider, start q 1 hours temperature and vitals
What is KYMRIAH patient temperature over 39.0 interventions?
Daily
How often to BMT patients need to shower?
Stem cells that are collected in advance, cryopreserved, and returned to the patient to replace those damaged by high dose chemotherapy
What is autologous stem cell transplant?
Leukemia
Lymphoma
Severe aplastic anemia
Multiple myeloma
Neuroblastoma
What is indications for stem cell transplant?
BID weights
Daily shower, chlorahexadine wipes
Strict I/O's
Daily room wipe/ linen change
Prompt vital sign reporting
Hygiene education for patient and family
QID mouth care
What is basic interventions for EVERY HCTT patient?
a personalized therapy using the patient’s own immune cells, or T cells, to fight cancer.
What is CAR-T?
A lab value that is a rough estimation of the number of disease fighting white blood cells present in one's blood.
What is absolute neutrophil count (ANC)
any neoplasms (cancers) of the lymphatic tissues
What is lymphoma?
0800 and 1600
What is HCTT patient daily weight times?
Chills
Fever
Back pain
Dark urine
Abdominal pain
Shortness of breath
Skin flushing
What is blood transfusion reaction signs and symptoms?
Patients up to 25 with B-cell precursor acute B-cell lymphoblastic leukemia (ALL) that is refractory or in second or later relapse
Adults with relapsed or refractory large B-cell lymphoma after two or more lines of systemic therapy including
What is KYMRIAH patient populations?
Change bed linen
Cavi wipe high touch areas of room
Cavi wipe mattress
Discard old food/drinks
What is RN/PCA daily housekeeping responsibilities for HCTT patients?
Sunburn like rash
Diarrhea (copious, green)
Bloating/gas
Dark tea colored urine
Jaundice (yellowing of skin)
What is signs and symptoms of GVHD?
Pan Blood cultures
Urine culture
Chest x-ray
CBC
Antibiotics
What is interventions to be completed within 30 minutes of 100.4 temperature in neutropenic patients?
Weight loss
Fluid overload
Provider management of weight gain/loss
What is daily weight importance?
fever, nausea, headache, rash, rapid heartbeat, low blood pressure, and trouble breathing
What is symptoms of cytokine release syndrome (CRS)?
Faster heart rate
Reduced urine output
Fever and chills
Decrease in platelet count
Difficulty In breathing
What is signs and symptoms of sepsis?
A group of blood cancers that usually begin in the bone marrow and result in high numbers or abnormal blood cells, called blasts.
What is leukemia?
Usually occurs within 30 days of stem cell infusion
ANC >500 for 2 consecutive days
ANC >1000 in one day
Platelet count >20,000 that is unsupported by platelet transfusion
What is engraftment?
Prevent infection of oral mucosa
Prevent regional spread and systemic infections
Maintain oral functions
Reduce adverse effects of radiation and chemotherapy
What is purpose of QID mouth care in HCTT and chemo patients?
Anxiety
Headache
Dizziness
Sleep disorders
Aphasia
What is signs and symptoms of neurotoxicity?