VCU Medical Center
Massey Cancer Center
Bone Marrow Transplant
QUICK REFERENCE GUIDE OF SYMPTOMS FOR TRANSPLANT PATIENTS
Concern/Symptom
Emergency--Dial 911
Call BMT Clinic/Unit
Call BMT Clinic/Unit
Immediately
Within 24 hours
Change in alertness,
consciousness, behavior
●Unconscious
●Seizure
●Difficult to arouse
Bleeding
Uncontrolled and persistent
bleeding
Breathing
●Not breathing
●Choking
Diarrhea
Fatigue
Unable to wake up
Fever
Mouth pain or sores
●Dizziness
●Too tired to get up or to go
to the bathroom
●Fever of 100.4 or over
●Shaking chills with or
without fever
●Not breathing
●Choking
Having difficulty breathing
or swallowing
●Not breathing
●Unable to swallow
●Choking
●Uncontrolled
●Bloody or “coffee ground”
appearing vomit
●Unable to keep down
medicine
Sudden, new rash
●Sudden swelling
●Difficulty breathing or
swallowing
Nausea or vomiting
Rash
Swelling
●New or increased
confusion
●Change in level of
alertness
●Vision changes
●Falling or change in
balance
●New numbness or
tingling
●Unable to move limbs
●New or increased bleeding
●Unable to stop nosebleed
●Blood in vomit, stool, urine,
or sputum
●Heavy vaginal bleeding
(more than 1 pad per hour)
●Trouble Breathing
●Shortness of breath
●Trouble breathing while
lying Flat
●Wheezing
●Uncontrolled cough
●Coughing up bloody,
yellow, or green sputum
●Constant or uncontrolled
●With a fever
●With abdominal cramping
●Bloody, burgundy, or black
stool
Urination
BMT VCUHS Program-Revised 11/08-Reviewed 5/13
●Unable to void for more
8 hours
●Blood in urine
●Painful urination
●Mood swings or behavior
changes
●Difficulty walking
●Frequent nosebleeds that
stop with pressure
●New bruising
●Little purple or red spots on
the skin
●New shortness of breath
with daily activities
●New or persistent cough
●New onset diarrhea
●More than 5 diarrhea stools
a day
●Passing whole pills or undigested food in stool
●Weakness or dizziness with
diarrhea
●Increase in fatigue
●Inactive
●New redness, tenderness,
swelling, or drainage at IV
site
●Cold or flu symptoms
●Bleeding in mouth
●New mouth sores
●Pain not controlled
●Nausea persists despite
medication
●Weakness or dizziness with
nausea/vomiting
Changes in skin rash
●New onset of swelling in
legs, feet, or hands with or
without pain
●Swelling at IV site
●Strong odor
●Change in color of urine
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