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학습 자료 둘러보기 →An ANC of 200 cells/mm³ defines severe neutropenia, a state where the child cannot mount an inflammatory response. The immediate priority is a neutropenic nursing care bundle to prevent life-threatening febrile neutropenia.
Core interventions include strict hand hygiene, a low-microbial diet, prohibiting fresh flowers and standing water, and avoiding rectal temperatures or suppositories. Monitor closely for subtle signs of infection, as classic signs like pus or redness are often absent.
A single oral temperature of ≥38.3°C (101°F) or a sustained temperature of ≥38.0°C (100.4°F) for over an hour is a medical emergency requiring immediate blood cultures and broad-spectrum antibiotics within 60 minutes.
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