sarika
Forum Guru
Topics: 195
Posts: 1,200
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19. A 62-year-old woman with ovarian cancer comes
to the emergency
department because of fever for 2 days. Ten days ago,
she received
chemotherapy with paclitaxel and carboplatin. She
feels tired but has not
had nausea or vomiting. Her temperature is 39.5 C
(103.1 F), blood
pressure is 100/60 mm Hg, and pulse is 115/min. The
lungs are clear to
auscultation. Examination shows a soft, nontender
abdomen. Her
hematocrit is 32%, leukocyte count is 800/mm3, and
platelet count is
105,000/mm3. Serum electrolyte levels are within
normal limits. Which of the
following is the most appropriate next step in
treatment?
A
) Plasmapheresis
B
) Additional chemotherapy
C
) Intravenous antibiotic therapy
D
) Intravenous corticosteroid therapy
E
) Transfusion of 2 units of leukocytes
F
) Transfusion of 2 units of packed red blood cells
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| prathapdoctor
Forum Elite
Topics: 12
Posts: 406
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C, intravenous antibiotic therapy.
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| MHP
Forum Senior
Topics: 15
Posts: 110
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I agree with C. Neutropenic patients with fever must be treat with ATB .
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| drashishmahajan
Forum Senior
Topics: 6
Posts: 92
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febrile neutropenia is treated best to start wid emoirical antibiotic using 3rd generation cephalosporins
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