Pediatric Bone Marrow Transplant: A Guide for Families

General Instructions For Home Administration Of Medications

Geri Quinn, RN, MSN and Janine Petitgout, RN, MA
Peer Review Status: Internally Peer Reviewed


1. At any time, should you have questions or concerns regarding your medications, contact a physician by calling the Pediatric Bone Marrow Transplant Unit at (319) 356-0505.

2. Side effects other than those listed may occur and should be reported to your physician. If at any time you have a question regarding the severity or occurrence of a side effect, contact your physician.

3. Following a bone marrow transplant, you are required to take many different medications. The doses of these medications will be changed from time to time. It is important to keep a written record of changes and make sure you understand the exact amounts you are to take.

4. The information provided on the following pages will help you understand: what the medications are and why you are taking them; side effects to be aware of; and specific instructions for taking each medication. It is usually a good idea to have two people knowledgeable in the administration of these drugs.

5. Medications should be taken as instructed. Do not alter dosages or frequencies without your physician's instructions. If you quit taking a medication or alter the dose without your physician's knowledge, you may develop side effects from the change that may require unnecessary treatment. Any change in medication without your physician's knowledge could be very serious.

6. If you miss a dose of a medication, follow the instructions provided for each medication. If you have any questions, contact your physician.

7. Keep all medications out of the reach of children. Should accidental ingestion occur, contact your physician or local poison control center.

8. Medications should not be stored in warm areas such as medicine cabinets. All medications should be stored away from heat and direct sunlight. Keep liquids from freezing.

9. Do not keep outdated medications or those no longer needed. Contents should be flushed down the toilet unless otherwise instructed.

10. You and your parents may need to get creative in order to help you take your medications. Gelatin capsules of all sizes can be ordered if needed. If you need a pill cutter, you can buy one at most drugstores for under $4.00. If you need to crush your pills, you can do so between two spoons or you can buy a mortar and pestle at the drugstore.

11. It is best to check with your physician before giving any over-the-counter medications. You should avoid all over-the-counter medications that contain aspirin. Aspirin and aspirin-containing products interfere with platelet function and should never be taken without permission from your physician. Look for the words "aspirin" or "acetylsalicylic acid" under the ingredients.

Homegoing Medication Schedule Sample

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Last modification date: Mon Jun 30 14:06:56 2008
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