Post-Bone Marrow Transplant Patient Management

SOURCE: THE YALE JOURNAL OF BIOLOGY AND MEDICINE

click link below to view PDF file to read full article: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2589364/pdf/yjbm00065-0150.pdf

63 (1990), 495-502
Post-Bone Marrow Transplant Patient Management
CATHLEEN M. POLIQUIN, R.N.,M.S.
Clinical Nurse Specialist, Jean Marie Colbert Bone Marrow Transplant Center,
University of Connecticut Health Center, Farmington, Connecticut

DISCHARGE
Barring any major complications, the patient is usually discharged 40-50 days after
the day of transplant.

Discharge criteria include:

  • Patient in stable condition
  • Absolute neutrophil count of 500/mm3 or greater for three consecutive days
  • Platelet count of 20,000 or greater
  • Hematocrit 25 percent or greater
  • Off antibiotics for at least 48 hours
  • Afebrile for at least 48 hours
  • Adequate oral nutritional intake
  • If present, GVHD under good control
  • Discharge teaching complete [7,9]

Discharge teaching is comprehensive and must involve full understanding and
cooperation by the patient and the family. Since the patient’s immune system is
immature for the first year following BMT, much of the teaching is focused on
infection prevention. Thorough instructions regarding discharge medications are given.
Follow-up medical and nursing care continues on an outpatient basis for about one year
after transplantation.


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