CHAPTER 4 Hematologic System^191
- Combination: Daunorubicin, vincristine, prednisone, asparaginase.
- Administer platelet transfusions.
- Administer Filgrastim for neutropenia.
- Administer antibiotics for infections.
- Bone marrow transplant.
- Administer immunosuppressives to avoid transplant rejection.
- Chronic myelogenous leukemia.
- Administer Signal transduction inhibitor:
- Imatinib
- Interferon-α
- Busulfan
- Hydroxyurea
- Chronic lymphocytic leukemia.
- Administer alkylating agents:
- cyclophosphamide
- chlorambucil
- Administer antienoplastics:
- Vincristine
- Prednisone
- Doxorubicin
- Monoclonal antibody targeted therapy:
- alemtuzumab
- Combination of fludarabine and rituxumab.
- Transfusion if hemolytic anemia or bleeding:
- Packed RBCs.
- Whole blood.
- Platelets.
- Bone marrow transplant and immunosuppression.
- High protein diet.
NURSING DIAGNOSES
- Risk for infection
- Chronic pain
- Imbalanced nutrition, less than what body requires