TABLE II.
Recommendations for supportive care in newly diagnosed or suspected acute promyelocytic leukemia (apl)
Supportive care | Implementation | Target | |
---|---|---|---|
1 | Frequent, aggressive transfusions | Cryoprecipitate | Fibrinogen levels should be greater than 1.5 g/L |
Platelets | Platelet counts should be at least 30×109/L | ||
Fresh-frozen plasma | |||
2 | Therapy with atra | Should be started immediately | Should be administered in divided doses |
Purpose is to treat coagulopathy and to initiate induction | |||
3 | Frequent monitoring | Immediate | Every 6 hours |
atra = all-trans-retinoic acid.