KEEPING THE LID ON PRESSURE: A QI PROJECT MONITORING THE MANAGEMENT OF HYPERTENSION DURING INFUSION OF HEMATOPOIETIC STEM CELLS FROM MATCHED UNRELATED DONORS

2.50
Hdl Handle:
http://hdl.handle.net/10755/165178
Category:
Abstract
Type:
Presentation
Title:
KEEPING THE LID ON PRESSURE: A QI PROJECT MONITORING THE MANAGEMENT OF HYPERTENSION DURING INFUSION OF HEMATOPOIETIC STEM CELLS FROM MATCHED UNRELATED DONORS
Author(s):
Blackburn, Roxann; Neumann, Joyce; Mick, JoAnn; Wood, Geri; Mok, Joy
Author Details:
Roxann Blackburn, RN OCN, Assistant Nurse Manager, UTMDACC, Houston, Texas, USA, email: rblackbu@mdanderson.org; Joyce Neumann, RN, BSN, MS, APN, OCN; JoAnn Mick, RN, MSN, MBA, PhD; UTMDACC; Geri Wood, RN, PhD; Joy Mok, RN, BSN, MS, APN, OCN
Abstract:
Patients undergoing hematopoietic stem cell transplants from matched unrelated donors (MUD) at a university-based bone marrow transplant unit were noted to have a higher incidence of acute hypertension during infusion of cells. Acute hypertension in this population can be life threatening due to profound thrombocytopenia and the subsequent risk of central nervous system bleed. Cell products from MUDs are collected the morning of transplant, transported to the patient and infused later the same day, so many of these infusions occur in the evening when there is less clinical support in the institution. To provide guidance to the nurses for the management of infusion related hypertension a multidisciplinary group developed a physician order set that included ôwhat ifö orders for hypertension occurring during MUD infusions. Medical records of patients receiving MUD cell infusions are being reviewed to determine how often the order set is used and to evaluate if BP is maintained within normal range when the order set is used. Data collection is ongoing. Preliminary information collected on 85 patient charts suggests that implementation of interventions in the order set is helping to manage hypertension. Additional information will be accumulated and presented. Acute hypertension can be a life-threatening event in patients receiving hematopoietic stem cell infusions. When nurses have standing orders to treat infusion related hypertension blood pressure can be maintained within a normal range.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleKEEPING THE LID ON PRESSURE: A QI PROJECT MONITORING THE MANAGEMENT OF HYPERTENSION DURING INFUSION OF HEMATOPOIETIC STEM CELLS FROM MATCHED UNRELATED DONORSen_GB
dc.contributor.authorBlackburn, Roxannen_US
dc.contributor.authorNeumann, Joyceen_US
dc.contributor.authorMick, JoAnnen_US
dc.contributor.authorWood, Gerien_US
dc.contributor.authorMok, Joyen_US
dc.author.detailsRoxann Blackburn, RN OCN, Assistant Nurse Manager, UTMDACC, Houston, Texas, USA, email: rblackbu@mdanderson.org; Joyce Neumann, RN, BSN, MS, APN, OCN; JoAnn Mick, RN, MSN, MBA, PhD; UTMDACC; Geri Wood, RN, PhD; Joy Mok, RN, BSN, MS, APN, OCNen_US
dc.identifier.urihttp://hdl.handle.net/10755/165178-
dc.description.abstractPatients undergoing hematopoietic stem cell transplants from matched unrelated donors (MUD) at a university-based bone marrow transplant unit were noted to have a higher incidence of acute hypertension during infusion of cells. Acute hypertension in this population can be life threatening due to profound thrombocytopenia and the subsequent risk of central nervous system bleed. Cell products from MUDs are collected the morning of transplant, transported to the patient and infused later the same day, so many of these infusions occur in the evening when there is less clinical support in the institution. To provide guidance to the nurses for the management of infusion related hypertension a multidisciplinary group developed a physician order set that included ôwhat ifö orders for hypertension occurring during MUD infusions. Medical records of patients receiving MUD cell infusions are being reviewed to determine how often the order set is used and to evaluate if BP is maintained within normal range when the order set is used. Data collection is ongoing. Preliminary information collected on 85 patient charts suggests that implementation of interventions in the order set is helping to manage hypertension. Additional information will be accumulated and presented. Acute hypertension can be a life-threatening event in patients receiving hematopoietic stem cell infusions. When nurses have standing orders to treat infusion related hypertension blood pressure can be maintained within a normal range.en_GB
dc.date.available2011-10-27T12:13:54Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:13:54Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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