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학습 자료 둘러보기 →The highest priority for a neutropenic patient is preventing infection, as it can progress to febrile neutropenia and septic shock within hours. The nadir, or lowest point of blood cell counts, typically occurs 7 to 14 days after chemotherapy.
Strict protective measures include placing the patient in a private room, enforcing meticulous hand hygiene for all visitors and staff, and restricting contact with anyone who is ill. Live plants and fresh flowers are prohibited as they harbor fungi and bacteria.
Dietary restrictions are critical: no raw or undercooked foods, unwashed fresh fruits, or unpasteurized dairy products to avoid introducing pathogens through the gastrointestinal tract. A low-microbial diet is often prescribed.
A single temperature of 38.3°C (101°F) or a sustained temperature of 38°C (100.4°F) for over an hour constitutes a medical emergency. Blood cultures must be drawn and broad-spectrum antibiotics initiated immediately, without waiting for results.
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