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NEUTROPENIC CAREMs. NISHA MATHEW
BLOOD COMPONENTS
NEUTROPENIA
WBC’S
Definition
Decreased Neutrophil counts ANC <1500cells/cummTYPES: Mild Neutropenia Moderate Neutropenia Severe Neutropenia
Why is it important to care for Neutropenic patients?
WBC’S fight foreign bodies Increased risk for infection
How should I care for them?CLEANLINESS
First step
7 STEPS
5 MOMENTS
Restrict visitors
No flowers
Neutropenic diet
No Raw food
Checking vitals
If fever present, Inform doctor…
Reverse Barrier Nursing Wear PPE Protect patient from getting infection
FEBRILE NEUTROPENIA
LOW RISK ORG. IDENTIFIED
AFEBRILE
AFTER 48 hrs ORAL CIPLO+
AMOXY+CLAVUNATE
Continue Treatment for 7 days
• Culture –ve• Infection site
resolved• ANC>500
• Mucosa intact• No invasive
procedure
DISCHARGE
FEVER PERSISTS DURING 3-5 DAYS
No change in patients condition
If progressive
Change AbsAdd Vanco.2nd line Abs
Add AntifungalIf febrile days 5To 7 & ANC not Increasing trend
Stop Abs 4-5 daysAfter ANC >500 OR
2 WKS if stable
Continue Treatment for 7 days
• Culture –ve• Infection site
resolved• ANC>500
• Mucosa intact• No invasive
procedure
Thankyou
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