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학습 자료 둘러보기 →A single temperature of ≥38.3°C (101°F) or sustained ≥38.0°C (100.4°F) for over an hour, combined with an absolute neutrophil count (ANC) <500/mm³, defines a medical emergency. Mortality risk increases significantly if antibiotic therapy is delayed beyond 60 minutes from presentation.
Immediate nursing actions include obtaining blood cultures (peripheral and central line if present), initiating prescribed broad-spectrum IV antibiotics promptly, and monitoring for signs of sepsis such as hypotension, tachycardia, and altered mental status.
Do not delay antibiotics for fever in a neutropenic patient; this takes priority over other abnormal lab values like anemia or thrombocytopenia. Avoid rectal temperatures and IM injections due to infection and bleeding risk.
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