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Hematology (Leukemia) (4 types (Myeloid (Chronic myeloid leukaemia (CML),…
Hematology (Leukemia)
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General
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Treatment
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Use a risk-assessment tool (eg MASCC, see BOX)
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Look for infection (mouth, axilla, perineum, IVI site). Take swabs.
• Check: FBC, platelets, INR, U&E, LFT, LDH, CRP.
Take cultures (blood ≈ 3—peripherally
± Hickman line; urine, sputum, stool if diarrhoea); CXR if clinically indicated.
• Wash perineum after defecation. Swab moist skin with chlorhexidine. Avoid
unnecessary rectal examinations. Oral hygiene (eg hydrogen peroxide mouth
washes/2h) and Candida prophylaxis are important (p238).
• TPR (vital signs) 4-hrly. High-calorie diet; avoid foods with high risk of microbial
contamination. Vases containing cut flowers pose a Pseudomonas risk