Acute nonlymphocytic leukemia: the first 48 hours.
The initial care of patients with acute nonlymphocytic leukemia can be lifesaving. Such patients are most often treated at tertiary care centers where resident physicians, working under the supervision of a subspecialist, are responsible for the diagnosis and initial treatment. During the first 48 hours, the house officer must recognize and understand the management of perilous complications such as hyperleukocytosis, hemorrhage, and infection. Specific lifesaving measures will grant the patient and his physicians sufficient time to reach a decision regarding the initiation of curative induction chemotherapy.
Ringenberg
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Medical Service, Harry S. Truman Veterans Hospital, Columbia, MO 65201.
Doll
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D001424:Bacterial Infections / Q000150:complications / Q000188:drug therapy / Q000517:prevention & control; D001856:Bone Marrow Examination / Q000379:methods; D003729:Dental Care / Q000379:methods; D004211:Disseminated Intravascular Coagulation / Q000150:complications; D004630:Emergencies; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000150:complications / Q000175:diagnosis* / Q000401:mortality / Q000628:therapy; D007964:Leukocytosis / Q000209:etiology / Q000628:therapy; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D011379:Prognosis; D012074:Remission Induction / Q000379:methods; D013194:Staining and Labeling; D013921:Thrombocytopenia / Q000150:complications; D013997:Time Factors