Jump to content

Are patients undergoing chemo on automatic neutropenic precaution?

Nurses   (462 Views | 4 Replies)

yupnv80 is a BSN, RN and specializes in Med/Tele/IMCU.

357 Profile Views; 6 Posts

Is it necessary to place a chemo patient on neutropenic precaution despite WBC at normal range. However, patient is febrile and receiving IV antibiotics...

I don’t work in oncology floor but there are patients who occasionally get admitted for post op fever after starting chemo

 

Share this post


Link to post
Share on other sites

nznurse93 has 3 years experience as a BSN.

280 Posts; 3,233 Profile Views

Your hospital should have a policy. 
 

Where I work anyone who has had chemo within the last 10 days are automatically on precautions. Regardless of blood results or any other circumstances. 

Share this post


Link to post
Share on other sites

Quota is a BSN, RN and specializes in Oncology.

1 Follower; 308 Posts; 3,838 Profile Views

I work oncology.  On our floor we don’t apply neutropenic precautions until their ANC drops.  Though some of the neutropenic precaution things are default on our floor so I’d look at your hospital’s policy. 

Share this post


Link to post
Share on other sites

Glycerine82 has 4 years experience as a ASN, LPN and specializes in SNF/Rehab/Geri.

1 Article; 2,063 Posts; 26,179 Profile Views

In my facility, only when they are actually neutropenic or we suspect they soon will be. 

Share this post


Link to post
Share on other sites

JBudd has 38 years experience as a MSN and specializes in Trauma, Teaching.

2 Followers; 1 Article; 3,754 Posts; 35,734 Profile Views

Follow policy, but if not actually on neutropenics be really careful anyway.

During my 2nd bout of chemo (3rd drug), my white count was actually normal so I felt sort of safe going out to a public event.  The next day I spiked to 104F, missed my chemo round, and admitted to hospital the next; with massive cellulitis of my affected arm (lymph removal) and Influenza A.  My daughter was told I nearly died and came to hospital just in time.  We never found out what caused the cellulitis. 

Chemo patients might look okay, and have good numbers, but are still fragile.

Share this post


Link to post
Share on other sites
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.