0am - vicissitude

[ArchivalUser]

What is the next appropriate step to manage a 3 yrs patient completing chemotherapy treatment for ALL (acute lymphoblastic leukemia) a week ago has had fever for 3 days, no malaise, rash, anorexia, nor known contact with sick preschool kids? Lab shows hemoglobin of 10; leukocyte count 2200: seg. Neut. 5%, bands 1%, lym 65%, mono. 18%, atypical lymp 11%; platelet count 35000. Exam: normal findings, temp. 38.6, BP 75/60, P 100. R 22.
1. Discharge pt with oral broad spec. antibiotics (BSA)
2. Admit pt to hos. for observation
3. Admit pt to hos. for iv BSA
4. Discharge without medication (DWM) and schedule a follow-up visit
5. Observe pt in the office for a few hours; DWM if exam remains unchanged

[ArchivalUser]

3. neutropenia.

[ArchivalUser]

3 A CASE OF POST CHEMOTHERAPY NEUTROPENIA WILL NEED IV ANTIBIOTIC AND ISOLATIOM AND PROBABLY G -CSF

[ArchivalUser]

Why iv BSA?

[ArchivalUser]

probably iv broadspectrum antibiotic is a better answer/ because there are no other answers.

i will like to give this guy ceftazidime and may be vancomycin too-- or cefotaxime

but since i have no other choice

why iv -- because it is kind of emergency to prevent him from septicemia