Canterbury DHB

Context

Investigations Required for the New Patient Likely to Receive Intensive Treatment

 

Test required

Notes

Blood test

CBCF, B12, folate.

 

 

Creatinine, urate, calcium, phosphate, albumin, vit D, B2M, SPE, Ig levels, serum free light chains.

 

Bone marrow

Bone marrow aspirate and trephine (stain for CD138 and k/L).

Consent for tissue bank storage.

Arrange with Haematology Lab Registrar.

Swabs

Swabs from any infected lesion. Sputum if present. Blood cultures if febrile.

 

Radiology

CT skeletal survey.

Consider conventional X-ray skeletal survey if contraindication to CT skeletal survey.

Other

Urine

24 hour urinary BJP quantitation may be required for some studies.

Referral

Hospital dental assessment if pamidronate therapy will be given or if any dental problems, jaw pain or swelling.

Doctors to organise.

 

 

OT, physio, social work, dietitian, wig specialist and psychologist may all be needed.

Nurses to organise.

About this Canterbury DHB document (5587):

Document Owner:

Sean Macpherson (see Who's Who)

Issue Date:

September 2014

Next Review:

September 2016

Keywords:

Note: Only the electronic version is controlled. Once printed, this is no longer a controlled document. Disclaimer

Topic Code: 5587