Supportive treatment

• Explain diagnosis and offer counselling—the word 'leukaemia' and prospect of prolonged chemotherapy are often distressing.

• RBC and platelet transfusion support will continue through treatment.

• Start neutropenic regimen (fflp550) as prophylaxis.

• Start hydration aiming for urine output >100mL/h throughout induction therapy.

• Start allopurinol or Rasburicase to prevent hyperuricaemia.

• Insert tunnelled central venous catheter (fflp568).

Gum hypertrophy in AML.

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