Blood and Marrow Transplant (BMT) Clinic

8:00AMto 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

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

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 38.2⁰C or 100.5⁰F 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