Protocols - Hemorio

• Primary prophylaxis: controversy, may be effective if there is HPN clone in granulocytes over
50%, platelets higher than 100.000 and there is no counter-indication. (cumarinic is used); it
must be performed with heparin of low weight or low dose of heparin in Perioperatory
periods, in prolonged immobilizations and pregnancy starting on the first trimester, up to 4 to
6 weeks after childbirth.
Marrow Aplasia
• BMT if donor is available and good ER;
• Treat as aplasia protocol;
• Use of G-CSF may benefit
82