Hello this is Dr. Paul and I have experience managing chemotherapy lymphoma cases
was this her first dose of the chemotherapy drug that caused the neutropenia?
ok. IT is unlikely to be due to the elevated BUN/Creatinine and more likely due to just all the previous rounds of the drug she has had before that still accumulates in the bone marrow.
definitely give the clavamox
CHOP is an awesome protocol, kudos to you for doing this for your pet. with this neutropenia the vet may change the dose or switch to a different drug for next time. definitely important to have the CBC rechecked again. clavamox is very safe to give despite having high BUN/Crea
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