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
________ ______ Audiology Exam
This is a hearing test that tells how well you can hear certain sounds. Since chemotherapy and antibiotics can affect your hearing, we want to know what your baseline hearing is before the transplant. You will have a hearing test after the transplant, too. Most of the time this test is done the first 1-2 days after you arrive at the hospital for your transplant.
________ ______ 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. You will need to sign a consent form before this test is done. The blood can be drawn from a central catheter if you have one. Otherwise a heparin well 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.
________ _____ 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.
A consult is a visit with a specialist in a certain area. This doctor will perform an exam and find out what needs to be done before the transplant.
_________ ______ Dental Consult
A dentist will check your mouth for any decay or infections and will review your dental x-ray. All patients will need their teeth cleaned before the transplant.
_________ ______ ENT Consult
An Ear/Nose/Throat Doctor will meet with you and review your sinus scans. If you often have sinus infections, you may need to be on antibiotics.
_________ ______ Ophthalmologist Consult
An eye doctor will check your vision and the health of your eyes. During the exam drops will be put in your eyes to enlarge your pupils. Radiation and chemotherapy can cause problems with your eyes.
_________ ______ Physical Therapy Consult
A physical therapist will meet with you to plan an exercise program, to help you maintain strength and mobility during your transplant.
_________ ______ Radiotherapy Consult (Not everyone will need)
If needed, you will meet the people who will give you total body irradiation (TBI). This visit is in the Radiotherapy department which is located in the basement. The visit may last 1-2 hours.
_________ ______ Social Work Consult
A social worker will talk to you about Durable Power Of Attorney, Living Will, Disability and any other concerns.
_________ ______ Surgery Consult for Catheter Placement
Some patients will need a tunneled catheter for the transplant to receive medications and blood products. A surgeon will talk to you about this. It is often placed in a large vein in the upper chest using local anesthesia. This will be done in the operating room.
The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.
Last Updated: 11/23/2011
Copyright © 10/14/2011 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#5208
Print Health Fact For You