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Febrile neutropenia

  • Criteria

    • temp >= 38.3 C or 38 C for 1 hour
    • neutrophil < 500
  • Admission orders

    • Admit: Floor - Single Room
    • Diagnosis: Febrile Neutropenia
    • Condition: Serious
    • Vital Signs: Routine. Temp q 4 hours
    • Allergies:
    • Nursing:
      • Guaiac stools
      • neurologic checks q 4 hours
      • No IM injections if platelets < 50,000/mm3
      • Oral care q shift
    • Diet: No Unpeeled Fresh Fruits or Fresh Vegetables
    • Activity: Encourage Activity with Assistance. Fall Precautions
    • Labs:
      • CBC with differential, chem qday
      • LFTs
      • blood cultures x 2, repeat q 24 if febrile
      • UA and culture
      • CXR
    • IV: None If Adequate Oral Intake
    • Special:
    • Medications: Imipenem 500 mg IV q 6 hours
    • Call HO: temp > 37.9 C

  • Print | Citations

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