Nursing Interventions
place in a private room. Limit visitors as indicated. Prohibit live plants or flowers. Restrict fresh fruits and make sure they are properly washed or peeled. Coordinate patient care so that leukemic patient doesn't come in contact with staff who also care for patients with infections or infectious diseases.
Require good hand washing protocol for a personnel and visitors.
Closely monitor temperature. Note correlation between temperature elevations and chemotherapy treatments. Observe for fever associated with tachycardia, hypotension, subtle mental changes.
Prevent chilling. Force fluids, administer tepid sponge bath.
Encourage frequent turning and deep breathing.
Auscultate breath sounds, noting crackles, rhonchi. Inspect secretions for changes in characteristics: increased sputum production or change in sputum color.