Shirmel B.

Pantonial May 14, 2010

NCM202 – 2 Ma’am Realista

“Bone Marrow Transplantation”

What is bone marrow transplant? A Bone marrow transplant is a

procedure where a special cell or what we called the stem cells, that are normally
found in the bone marrow are taken out, filtered, and it is given back either to the
same person or to another person. BMT is being used for treatment of many
other illnesses, some of which are rather uncommon. The common indications of
BMT for malignant disorders are Acute Myeloid Leukemia, Acute Lymphoid
Leukemia, Chronic Myeloid Leukemia, Lymphomas, and Chronic Lymphoid
Leukemia. Also it is performed for illnesses where the bone marrow does not
produce the right kind of or enough cells. Some of these are the sickle cell
anemia, aplastic anemia, thalassemia, congenital neutropenia and severe
immunodeficiency syndromes.

Before the bone marrow transplant operation, the responsibility of the

nurse is to provide information and emotional support for the patient and their
family members, and also to ensure that all preoperative data have been
accumulated, and to maintain patients’ baseline hemodynamic statuses. The
nurse should also insure that the consent form has been signed, and sedatives
and positioning has been provided.

When the patient arrives in the OR room, the nurse should complete an
initial brief assessment. The nurse should also use NCP’s like maintaining safety
and prevent injury by properly positioning the patient and identifying the type of
anesthetic used. Verifying the patients’ identity is the responsibility of a nurse.
The nurse should let the patient spell out his or her name and confirm it on the
patients’ wristband and as well as in the chart.
 Most patients will be in the hospital for 4 to 6 weeks. During this time, the
patient will be isolated and watched closely because of the increased risk of
infection. After the operation the responsibility of the nurse is to closely monitor
the patients’ blood and vital signs. The nurse should insure that antibiotics, anti-
fungal medications, and anti-viral medications, as prescribed, are given to
prevent or treat infection. The patient should stay in a room where special things
are done to prevent infection. The nurse should also insure that proper nutrition
is provided. The patient is given calories and proteins through an intravenous (IV)
line until the patient can eat on their own, and until diarrhea, nausea, or mouth
sores have cleared up.