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Reply To: Tylenol administration for febrile BMT patients
Hi there. We don’t restrict Tylenol use unless they are high risk for VOD. In that case, we minimize use to by provider order only (not a PRN order), so that it can be fully evaluated if the patient truly needs it. There isn’t a set temperature criteria. Around busulfan however, that’s a definite no Tylenol no matter how high a fever. Will add the caveat that we have a NP-lead coverage during the day, so are better able to evaluate the risks/benefits prior to each administration over say a resident-lead service that might not know BMT as well. Maybe they’ve had a prior bad experience at this hospital? Definitely worth taking a deeper dive into the why at your new center.
Hope this helps.
—————————— JD Murphy MS CPNP-AC CPHON Pediatric Oncology/BMT Nurse Practitioner Johns Hopkins Hospital Baltimore, MD USA email@example.com —————————— ——————————————- Original Message: Sent: 11-26-2021 10:36 PM From: Loren Tilson Subject: Tylenol administration for febrile BMT patients
Do any of the hospitals you work at have restrictions for Tylenol usage in bmt patients for VOD prophylaxis? Where I used to work, we gave Tylenol for fevers like it was no big deal, but I moved to a different hospital where they very rarely allow us to give Tylenol and will often wait until a patient’s temp is as high as 103 F. We had very few issues with VOD where I worked before even though we frequently gave Tylenol. So, what do you guys do? Tylenol or no??
—————————— Loren Tilson, RN Charleston, SC United States ——————————