Bone Marrow Transplantation (Vademecum) by Richard K. Burt

By Richard K. Burt

The original, compact, pocket-sized structure of Bone Marrow Transplantation makes this article a realistic. ready-reference for condominium officials, fellows, nurses and pharmacists at the bone marrow transplant unit. themes lined contain: illnesses requiring bone marrow transplants, comparable to a number of myeloma, lymphomas, pediatric malignancies and grownup stable tumors; symptoms, problems, drug doses and ways to medical administration difficulties; unrelated donors, marrow processing, engraftment relapse and normal sufferer care; and the necessities for preserving a bone marrow transplant unit.

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Reprinted with permission from Bennett CL, Armitage JL, Armitage GO. Costs of care and outcomes for high-dose therapy and autologous transplantation for lymphoid malignancies: results from the University of Nebraska 1987 through 1991. JCO 13(4):969-973, 1995. 5 Bone Marrow Transplantation was $69,870. However, the average cost of treatment for a patient who had received total body irradiation and an autologous bone marrow transplant was $82,520, and for the patients receiving peripheral stem cell transplantation and total body irradiation, the average cost was $102,560.

7) Instruct the patient, or nursing staff, to clean the sutures daily with a solution of 50% H2O and 50% hydrogen peroxide. After 24 hours, the bandaid may be removed, and the site may be left open to air. Instructions should also be given regarding the signs and symptoms of infection and who should be informed in the event that these occur. 8) The sutures may be removed in 5-7 days, but should remain in longer, approximately 10 days, if the patient is on steroids. F) COMPLICATIONS Pain may occur locally after the anesthetic has worn off.

All patients were treated at the University of Nebraska Medical Center between 1987 to 1991 and received high-dose chemotherapy in conjunction with either autologous bone marrow transplantation or peripheral stem cell transplantation. Patients who died in the hospital were not included in the study because their costs differed markedly from those of survivors. One hundred seventy-eight autotransplantations were performed for patients with Hodgkin’s disease. The mortality rate decreased steadily (Fig.

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