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학습 자료 둘러보기 →A platelet count below 20,000/μL indicates severe thrombocytopenia with a risk of spontaneous, life-threatening bleeding, including intracranial hemorrhage. The presence of petechiae is a clinical sign of microvascular fragility.
Immediate nursing actions include notifying the provider, placing the patient on bleeding precautions, and preparing for a platelet transfusion as ordered. Avoid rectal temperatures, intramuscular injections, and use of aspirin or NSAIDs.
Severe bone pain, while distressing, is an expected finding in acute leukemia and does not take priority over a critical lab value indicating imminent danger of catastrophic hemorrhage.
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