Emergency treatment

• Seek expert help immediately.

• Intensive cardiovascular and respiratory resuscitation may be needed if septic shock or massive haemorrhage.

• Immediate empirical broad spectrum antibiotic treatment for neu-tropenic sepsis.

• Leucapheresis if peripheral blast count high or signs of leucostasis (retinal haemorrhage, reduced conscious level, diffuse pulmonary shadowing on CXR, or hypoxia).

• Intensive hydration with alkalinisation of the urine to prevent acute tumour lysis syndrome in patients with a high peripheral blast cell count (>100 x 109/L).

0 0

Post a comment