During the Period When the Patient Receiving Chemotherapy, Our

During the period when the patient receiving chemotherapy, our

medical staff will check your complete blood count regularly to

know the dynamic change of the blood cell number. The patient

should be instructed when the expected nadirs will be achieved

for early precaution.

A. Lowering of the total WBC count The white blood cells have to

ability to fight infection.The white blood cell count will

decrease accompanying lowering immunity under chemotherapy

treatment, and early prevention should be done.

1.Keep clean in the house. No flowers, no plants, and use cover

over all trash can.

2.Restrict visitor to the patient and keep the patient from the

diseased.

3.Wearing MASK. Including the patient,all the family members

and the visitors should wear mask. (Be aware that the mask

should be renewal when wet.)

4.The sanity:

(1)Keep the habit of washing hands.

(2)Taking shower and keep nails short and clean everyday.

(3)Each time after stool passage, keep the area around

perineum and anus clean and dry.

5.Prevent cheilosis and mucositis. Washing mouth with

commercial mouth wash or salt water after each meal.

6.Use electric shaver. Avoid enema or measuring temperature

from anus.

7.Adjust diet: Take more high protein food with large amount .

8.Vitamin ,C,E or other minerals. Avoid eating fresh vegetable

without sterilization.

B.Whenever the patient had any symptoms described below, telling

our medical or nursing staff:

1.Fever with body temperature more than 37.8℃.

2.Chillness or feeling cold.

3.Cough, rhinorrhea, sore throat.

4.Burning sensation when urination.

5.More than twice watery stool passage.

C.Anemia or fatigue:

1.Reducing the red blood cell count would cause the patient

feeling fatigue easily or dizziness during the daily

activity.

2.Rest more to decrease oxygen consumption and avoid vigorous

exercise.

3.Slow the action to avoid dizziness and falling down.

4.To facilitate the recovery of red blood cell,take more

nutrient food like raisin,the egg yolk, meat, shellfish, and

vegetables.

REFERENCES

Donadieu J, Fenneteau O, Beaupain B, et al. (2011).Congenital

neutropenia: diagnosis, molecular bases and patient management.

Orphanet Journal Rare 6(26), 110-116.

Coughlan, M.; Healy, C.(2013). Nursing care, education and

support for patients with neutropenia.Nursing Standard,22(46)

,35-41.

Dunbar, A., Tai, E., Nielsen, D. B., Shropshire, S.,

Richardson, L. C. ( 2014) Preventing infections during cancer

treatment: Development of an interactive patient education

website.Clinical Journal of Oncology Nursing18(4 ), 426-31.

Miller, K.(2010). Using a computer-based risk assessment tool to

identify risk for chemotherapy-induced febrile neutropenia.

Clinical Journal of Oncology Nursing14(1 ): 87-91.