/clinical/,/clinical/pted/,/clinical/pted/hffy/,/clinical/pted/hffy/cancer/,

/clinical/pted/hffy/cancer/7015.hffy

201405149

page

100

UWHC,UWMF,

Clinical Hub,Patient Education,Health and Nutrition Facts For You,Cancer, BMT, Hematology

BMT - Guidelines for Symptoms (7015)

BMT - Guidelines for Symptoms (7015) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Cancer, BMT, Hematology

7015



Blood and Marrow Transplant (BMT) Clinic

8:00AM to 4:30PM Monday through Friday:
608-265-1700 or 800-323-8942 - ask for 5-1700

After Hours:
608-262-0486 or 800-323-8942 - ask for the BMT Physician on call



Guideline for Symptoms

Areas of
Concern
Critical
Emergency
Dial 911
Urgent Medical Attention
Needed
Call Now
See Numbers Above
Important Information
for Clinic
Call within 24 hours
See Numbers Above
Alertness,
Conscious-
ness,
Activity
• Unconscious
• Unable to arouse
• Seizure
• Loss of movement
in limbs
• Loss of vision
• Loss of sensation
• New or increased confusion
• Change in level of alertness
• Change in vision
• Falling down
• Numbness, tingling in limbs
• Dizziness
• Mood changes: irritable, tearful
• Sleeplessness
• Lethargic
• Change in energy level
• Tremors/Shakiness
• Not able to get around
• Problems swallowing
Bleeding
• Uncontrollable,
consistent bleeding
• Patient is
unconscious
• New or increased bleeding
• Bloody urine
• Unable to stop nosebleed
• Bloody diarrhea
• Vomiting of blood
• Patient falls or is injured
• 1 or more feminine pad used per
hour
• Frequent controlled nose bleeds
• New bruising
• Little red or purple spots on the
skin
Breathing
• Not breathing
• Choking – Not
moving air into
chest
• Trouble breathing
• Feeling as if can’t get enough air
• Trouble breathing when laying flat
• Wheezing with breaths
• Persistent continuous cough
• Coughing blood or green/yellow
material
• Gets “winded” more easily with
minimal activity
• New or recurrent cough
Central
Venous
Catheter
(Central
Line)
• Line open to air
and patient short of
breath (clamp line
immediately)
• Line broken or leaking
• Face, neck, arm, shoulder, or exit
site swelling
• Line fell out
• Headache related to infusions
• Redness or tenderness at exit
site
• Drainage from exit site
• Inability to flush
Diarrhea
• Constant or uncontrolled diarrhea
• Diarrhea with fever and abdominal
cramping
• Stool is bloody, burgundy, or black
• Mild abdominal cramping
• New onset diarrhea
• Whole pills passed in stool
• Greater than 5 times each day
Fatigue
• Unable to wake up • Dizziness
• Too tired to get out of bed or walk
to the bathroom
• Fatigue is getting worse
• Staying in bed all day
• Other symptoms occur with
increased fatigue




Blood and Marrow Transplant (BMT) Clinic

8:00AM to 4:30PM Monday through Friday:
608-265-1700 or 800-323-8942 - ask for 5-1700

After Hours:
608-262-0486 or 800-323-8942 - ask for the BMT Physician on call



Areas of
Concern
Critical
Emergency
Dial 911
Urgent Medical Attention
Needed
Call Now
See Numbers Above
Important Information
for Clinic
Call within 24 hours
See Numbers Above
Fever/Chills
• Shaking chills, temperature may be
normal
• Temperature 38.2
0
C or 100.5
0
F or
above taken by mouth
• Fever 1 degree higher than usual
• New redness or swelling on skin
or at central line site
• Cold symptoms (runny nose,
watery eyes, sneezing, coughing)
• New abdominal or back pain
• Toothache
Mouth Pain/
Mucositis
• Not breathing • Having trouble breathing
• Cannot swallow
• Choking
• Bright red blood in mouth
• Pain not controlled by medicine
• White patches or sores appear
on gums or mouth
• Problems swallowing food or fluid
Nausea/
Vomiting

• Uncontrolled, constant nausea/vomiting
• Blood or “coffee ground” appearing
material in the vomit
• Medicine not kept down because of
vomiting
• Weakness or dizziness along with
nausea/vomiting
• Severe stomach pain while vomiting
• Nausea persists without control
from anti-nausea medicines
• Vomit shoots out for a distance
(projectile vomiting)
Pain
• Severe chest/
arm pain
• Severe
squeezing or
pressure in
chest
• New or uncontrolled pain in body
• Headaches not relieved with Tylenol
®

• Chest discomfort
• Pounding heart
• Heart “flip-flop” feeling
• Burning in chest or stomach
• Pain or burning while urinating
• Strong stomach pain
• Sores or painful areas on skin or
mouth
• New pains relieved with pain
medicines
• Painful central line site or area
around catheter
• Pain with infusion of medicines or
fluids into central line
Rash
• Sudden onset body rash
• Rash with severe pain
• New, or changes in skin rash
Swelling
• Sudden swelling with or without pain • Swollen legs, hands
• Swelling around central line
Urination
• Unable to urinate for more than 8 hours
• Bloody urine
• Painful urination
• Strong odor of urine
• Change in color of urine

Copyright © 5/2014. University of Wisconsin Hospital and Clinics Authority. All rights reserved. Produced by the Department of
Nursing. HF#7015