Rapidly…
AML>>> hydroxyurea with or without leukapheresis
ALL>>> vincristine and dexamethasone.
CML>>> Imatinib.
CLL>>> Fludarabine with or with out rituximab
Give PCP prophylaxis with CLL ttt and start influenza and pneumococcal vaccine before
Do not forget IV fluids and allopurinol for tumor lysis syndrome prophylaxis.