Pre-Stem Cell Transplant Tests
Below you will find a brief description of each test and a space to write down when the test is to be
done. These tests help us to know if your body is ready for transplant. They also help us to
compare any changes that may occur after the transplant. You may need all or some of these tests.
Please talk to your doctor or nurse about any questions or concerns you may have.
Date Time Test
________ ______ Bone Marrow Aspiration and Biopsy
A small sample of bone (usually the hip bone) and bone marrow, which is
liquid, is removed using a needle. You will need to lie on your stomach
during the test. The doctor will clean your skin and then numb the skin and
the top of the bone. You may be given some medicine to help you relax.
You will need to lie flat on your back for 15-30 minutes after the test. Refer
to HFFY#4458, Bone Marrow Procedure Guide. A bone marrow biopsy is
done in a procedure room in the Clinic area.
________ ______ Laboratory Tests
Many blood samples are needed to tell what viruses you have been exposed
to. One common virus most everyone has been exposed to is chicken pox.
You will also need a blood test for HIV which is the virus that can cause
AIDS. The blood can be drawn from a central catheter if you have one.
Otherwise an IV can be placed and then used throughout the day for other
tests. All blood tests are drawn in the Outpatient Lab. Also, you will need to
give a urine sample. We may need to do a pregnancy test too.
________ _____ Computerized Axial Tomography (CAT Scan)
Special X-rays are taken of the inside of your body and are done in
Radiology. You will not eat or drink for about 4 hours before the test. Once
you check in you will drink a contrast dye. You will receive contrast dye
through an IV. The dye helps to locate tumors or other areas of concern. You
will need to lie still on a table while a machine circles around your head and
body taking X-rays. This test is about an hour long. Once done with the test,
you may have “loose bowels” for a day. This will go away. You should
drink fluids such as juice or water, about two quarts for the next two days, to
flush the dye from your body. Refer to HFFY#4351, CT Scan.
________ _____ Echocardiogram (ECHO)
Sound waves are used to take pictures of your heart. A cool, jelly-like
substance is spread on your chest. Then a paddle is moved across your chest
to make a picture on the screen. The test takes about thirty minutes and is
done in the Cardiology area on the 4th floor.
________ ______ Lumbar Puncture (LP)
A thin needle is placed between the bones of the spine really low in the back
near the sacral area. Fluid surrounds the spinal cord and brain. This fluid is
called cerebral spinal fluid (CSF). Sometimes cancer cells can get into the
fluid so some is taken to make sure no bad cells are there. Often a few drops
of fluid are taken and sent to the lab for study. Chemotherapy is given into
the fluid to kill any cancer cells if any are found. Usually this takes about 2-3
minutes and will be done in the procedure room in the Clinic. You will have
to lie flat for about one hour afterwards.
________ ______ Panorex Film
An X-ray of your jaw, teeth, and gums lets the transplant dentist know if there
are any areas of infection or decay. If you have any of these problems, they
will need to be fixed before the transplant. This X-ray lasts about 10 minutes
and is done in the Radiology area.
________ ______ Pulmonary Function Tests
A respiratory technologist will measure the volume of air you inhale and
exhale while you sit in a plastic booth. These tests will tell how well your
lungs work. If you smoke, your lungs will not work as well as they should.
You will have to stop smoking before the transplant. You will have some
blood drawn from an artery. This blood sample is also a measure of how well
your lungs work. If you are on Coumadin /Warfarin or have a low platelet
count, it is possible that you should not have the arterial bloods drawn.
________ ______ Social Work
Most patients meet with a BMT social worker before transplant to discuss
practical, financial and emotional needs. Social workers are available to
assist with or make a referral in regard in regard to disability, financial needs,
and advance planning.
Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 7/2017. University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#5208