A child having acute lymphocytic leukemia (ALL) comes to clinic for extraction of a primary tooth. active neutrophil count (ANL) was 1700

A child having acute lymphocytic leukemia (ALL) comes to clinic for extraction of a primary tooth. active neutrophil count (ANL) was 1700:

1. Defer dental treatment

2. Give antibiotic coverage and extract

3. Proceed as normal pt. ***

4. Give platelet transfusion

What level of monocytes indicate leukemia?

A common sign of CMML is a high number of monocytes, greater than 1,000 per microliter. Other signs include low numbers of other white blood cells, red blood cells, and blood platelets.

What kind of WBC is increasing in leukemia?

The Leukemia & Lymphoma Society notes that the increase in the number of immature WBCs prevents the bone marrow from making healthy red blood cells (RBCs) and platelets. Therefore, in addition to increasing the WBC count, CML may cause a decrease in the RBC count.

What is normal lymphocyte count in child?

In children, the normal range of lymphocytes is between 3,000 and 9,500 lymphocytes in every 1 microliter of blood. About 20% to 40% of your white blood cells are lymphocytes.

What is normal neutrophil count in child?

The absolute neutrophil count (ANC) is the total number of neutrophils (segmented neutrophils plus band forms of neutrophils) your child has to fight a bacterial or fungal infection. A normal ANC is greater than 1,500. And a low ANC is called neutropenia. Your child's ANC would be 1,200.

What is the first treatment protocol for leukemia?

The treatment of adult ALL usually has two phases.

Remission induction therapy: This is the first phase of treatment. The goal is to kill the leukemia cells in the blood and bone marrow. This puts the leukemia into remission. Post-remission therapy: This is the second phase of treatment.

What is the first line treatment for acute leukemias?

The main treatment for most types of AML is chemotherapy, sometimes along with a targeted therapy drug. This might be followed by a stem cell transplant. Other drugs (besides standard chemotherapy drugs) may be used to treat people with acute promyelocytic leukemia (APL).

Which of the following is the first priority for a child with acute lymphocytic leukemia?

Answer: A.

Acute lymphocytic leukemia (ALL) causes leukopenia, resulting in immunosuppression and increasing the risk of infection, a leading cause of death in children with ALL, therefore, the initial priority nursing intervention would be to institute infection control precautions to decrease the risk of infection.

What is the WBC count for childhood leukemia?

Leukemia white blood cell count ranges in children

6,200 to 17,000 for children under 2. 5,000 to 10,000 for children over 2.

What is the WBC count for acute lymphocytic leukemia?

At the time of diagnosis, patients can have very, very high white blood cell counts. Typically a healthy person has a white blood cell count of about 4,000-11,000. Patients with acute or even chronic leukemia may come in with a white blood cell count up into the 100,000-400,000 range.

Why tooth extraction is contraindicated in leukemia?

Dental extractions in patients with leukemia are controversial, since they may lead to hemorrhage, delayed wound healing and infection. However, the retention of diseased teeth in these patients may also lead to infectious complications during chemotherapy.