Neutropenic care

care of Neutropenic patients becomes an important task in a cancer setup

1. NEUTROPENIC CARE Ms. NISHA MATHEW

2. BLOOD COMPONENTS

3. NEUTROPENIA

4. WBC’S

5. Definition Decreased Neutrophil counts ANC <1500cells/ cumm TYPES: Mild Neutropenia Moderate Neutropenia Severe Neutropenia

6. Why is it important to care for Neutropenic patients?

7. WBC’S fight foreign bodies Increased risk for infection

8. How should I care for them? CLEANLINESS

9. First step

10. 7 STEPS

11. 5 MOMENTS

12. Restrict visitors No flowers

13. Neutropenic diet No Raw food

14. Checking vitals If fever present, Inform doctor…

15. Reverse Barrier Nursing Wear PPE Protect patient from getting infection

16. 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 M ucosa intact No invasive procedure DISCHARGE

17. FEVER PERSISTS DURING 3-5 DAYS No change in patients condition If progressive Change Abs Add Vanco . 2 nd line Abs Add Antifungal If febrile days 5 To 7 & ANC not Increasing trend Stop Abs 4-5 days After ANC >500 OR 2 WKS if stable Continue Treatment for 7 days Culture – ve Infection site resolved ANC>500 M ucosa intact No invasive procedure

18. Thankyou