By Richard T. Maziarz MD (auth.), Richard T. Maziarz, Susan Slater (eds.)
Developed by means of the Blood and Marrow Transplant workforce at Oregon overall healthiness & technology college Knight melanoma Institute, this pocket consultant presents scientific administration instructions for hematopoietic stem mobilephone transplant sufferers from the instant in their preliminary session during the transplant technique. - It comprises symptoms for transplant, crucial information for patient/donor assessment; - innovations for addressing issues in the course of and after transplant; - long-term stick with up care; - step by step directions for universal approaches and documentation guidance. an important instrument for prone, this consultant offers a multidisciplinary method of info important for supplying caliber take care of your patients.
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Additional info for Blood and Marrow Transplant Handbook: Comprehensive Guide for Patient Care
Orlando, Florida. , et al. (2004). Higher mortality rates after allogeneic peripheralblood transplatation compared with bone marrow in children and adolescents. J Clin Oncol, 22:4872–4880. , et al. (2007). High-resolution donor-recipient HLA matching contributes to the success of unrelated donor marrow transplantation. Blood, 110:4576–4583. , et al. (2010). A risk adapted approach utilizing plerixafor in autologous peripheral blood stem cell mobilization. Biol Blood Marrow Transpl, 16(1):S197–S198.
Adult acute myelogenous leukemia a. Antecedent hematologic disease b. Therapy-related AML c. Induction failure d. 1) e. CR2 and beyond 2. Pediatric acute myelogenous leukemia a. High risk (monosomy 5 or 7, age <2 years, induction failure) b. CR1 with HLA-matched sibling donor c. CR2 and beyond 3. Adult acute lymphoblastic leukemia a. CR1 with standard risk up to age 55 b. T. Maziarz, S. 1007/978-1-4419-7506-5_4, C Springer Science+Business Media, LLC 2011 27 28 A. 1. Risk stratification for cytogenetics Risk group Cytogenetics Molecular markers Good Inv(16); t(16;16) t(8;21) t(15;17) Intermediate Normal +8 only t(9;11) Other abnormalities not defined Complex (≥ 3 abnormalities) −5, del 5q −7, del 7q 3q21q26 t(6;9) t(9;22) 11q23 abnormalities except t(9;11) 17p abnormalities Normal cytogenetics with isolated NPM1 mutation Normal cytogenetics with isolated CEBPA mutation Inv(16), t(16;16), and t(8;21) with c-kit mutation Poor Normal cytogenetics with Flt3 mutation i.
7. 8. c. Increases to basal rate should be based on previous 24-h dosing. Pain should be assessed every 4 h and more frequently as needed to assess the efficacy of analgesic regimen. a. A numeric rating scale or similar for adults b. The Wong-Baker Faces Pain Scale is recommended for children aged 3 years and younger (Fig. 1) For patients with acute kidney injury (serum creatinine >2 mg/dL), fentanyl or hydromorphone is preferred as morphine has active metabolites that can accumulate. Maximize oral symptom relief for patients with mucositis with frequent normal saline rinses and topical analgesics such as “Special Mouthwash” or “Miracle Mouthwash” (1:1:1 mixture of viscous lidocaine/diphenhydramine/aluminum + magnesium hydroxide).