Zz.
If exposed to neutrons, s
whole body count should be rade to
estimate the amount of radionuclides produced.
possible.
marrow
biological
lymphocytes should be
obtained whits
cose estimate,
(HLA
platelet
still available,
th e
tissue
should be set up
AS svun as possible,
before
¢ty Ding and storage
results of
the
lymphopenia
for later mixed
typing will be useful
for
t-: eznsfusions and
the
{xrst five days,
fluid and electrolyte
identification of a
possible bone marrow donor.
crea te
4.
In
the early staves,
the
balance must be monitored closely acc
restored by
the appropriate
3.
Reverse
isolation
ak
intravenous or oral solution.
techniques
to prevent
ingress of
pathogens
to
the irraciation individuals are gene:ally believed to have been effective
in preventing infections in patients unugergotng treativent for leukemia and
subsequent bone marrow transplantation,
procedure
in
the
event
of
a
potentlily
his would probably be a useful
fatal
irradiation
acecicent.
I1£
possible, the inuiviaual should be av 7 {tted to a mouern laminar air-flow
roon with a
complete
regimen of
skin
Ster{illzation,
non-absorbable antibiotics for sterilization ot
tract.
2 git,
rion injucyree
Ss
flora is desirable,
i
and
the .astroinutestinal
this is not feasible, meascres should be initiated to prevent
commensal and pathogenic
such
diet,
and
infections.
this can
be
lRecuction
in
the vastrointestinal
accomplished with oral,
non~absorbable
broad-spectrum antibiotics such as nveaycin and antifungal agents such as
aystatin.
Platelet transfusions,
preferably
fresh,
shuvid
be given when
the
in
6.
4
.
Aas
J
‘
platelet count approaches 25,00G and reneated to maintain levels above
this.
fe the patient should
teffactor,
to randur donor clatelets,
Che
a”
sf ULa-mactcned platelets frou unrelated SUNGOTS May Decome necessary.
¢
ee Ally-wenver transfusion shoula not tx
? ©bone warrow trans;lantation has bwe:,
= Ught sensitize the patient to the
administered until
ex¢luded
antirens
Lecause
of a possibie
~107-
FET
:
u
A
the posstbilicy
such
transfusions
dotuot.
2 TAT
2
become
uw
%
- toms
If
sterile
st
matching of granulocyte,
and
TPT
REE
lymphocyte
The
bune
periphe val blood lymphocytes
for later analysis of
for hurian
direct
1s ae
ae to 4 .
aot, et Oetr Bate
ro
of
promptly as
I pepw ceo
preparations
studies
hem pete Tt Op geek ee
Uy togene tic
leukocyte cultures.
of
done as
be
sets in,
qusue ing
laburatuory
including a complete hematologic ew: luation should
phy tohemaglufinin stimulated
wy bE GUTY
examination, and
ETERS ryfag THR Ranta, SEARS VTA Tou
-- ar
physical
« moa ’
Medical history,
ua ce See
PYRE
te
caeiadate SF amaPe
“P
3.
OR REESe ee
Sry
eee
a
Som
ee