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Oncologic Emergencies
Exam 1
20
Nursing
Undergraduate 3
09/16/2018

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Cards

Term
Sepsis
Definition
Organisms enter the bloodstream
Term
Desseminated Intravascular coagulation (DIC) - pathophys
Definition
Abnormal clotting throughout small blood vessels depletes existing clotting factors/platelets. Extensive bleeding occurs.
Term
DIC SSX
Definition
Pain, stroke like symptoms, dyspnea, tachycardia, decreased kidney function, bowel necrosis

HIGH mortality rate
Term
DIC management
Definition
PREVENTION

Infection control
Term
Syndrome of inappropriate ADH
Definition
ADH is normally secreted in response to decreased plasma volume. In this case it is secreted when not needed. Water is retained and NA levels diluted (hyponatremia)
Term
Syndrome of inappropriate ADH - SSX
Definition
Weakness, muscle cramps
Loss of appetite, fatigue

More severe: seizures, coma and death
Term
Syndrome of inappropriate ADH Nursing priorities
Definition
Safety and support
Restoring fluid ballance

Preventing fluid overload (pulmonary edema/HF)
Term
Spinal cord compression ssx
Definition
Back pain
Muscle weakness
Heavyness in arms/legs
Numbness in hands/feet
Decreased temperature
Unsteady Gait
Term
Spinal cord compression TX
Definition
Palliative and high dose corticosteriods
Term
Hypercalcemia more likely in CAs that
Definition
secrete parathyroid hormone
Term
Hypercalcemia patho
Definition
Parathyroid causes bones to release CA, worsened by decreased mobility and dehydration
Term
Hypercalcemia SSX
Definition
Skeletal pain
Kidney stones
ABD discomfort
Constipation
Altered cognition
Fatigue, loss of appetite, nausea
Term
Hypercalcemia TX
Definition
Oral hydration and loop diuretics
Term
Superior Vena Cava syndrome patho
Definition
Compression of SVC leading to congestion of blood
Term
SVC syndrome SSX
Definition
Angioedema especially around eyes
Shirt and collars tighter
Edema in arms/hands (later)
Engorged blood vessels (later)
Erythema of upper body (later)
Dypsnea and epistaxis (later)

Hemmorhage, cyanosis, decreased cardiac output, mental status changes
Term
SVC syndrome diagnosis?
Definition
Ratiographic imaging
Term
Tumor Lysis syndrome patho
Definition
Large number of tumor cells destroyed rapidly, intracellular components are released into the bloodstream faster than the body can eliminate them.
Term
TLS can lead to....
Definition
AKI
Hyperkalemia
Hyperphosphatemia
HyperUricemia
Term
TLS ssx
Definition
Lethargy, N?V
Anorexia, DI
Cloudy urine, flank pain
Muscle weakness and cramps
Term
TLS Treatment
Definition
HYDRATEEEE - 3000-5000 ml day before to 3 days after treatment if know to be sensitive to tx

Keep fluid intake steady throughout the day
Manage n/v
Diuretics to increase urine flow through kidneys

Diaper for all the pee (LOL)
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