Oncologic Emergencies.docx - Oncologic Emergencies...

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Oncologic Emergencies Oncologic Emergencies o Obstructive Emergencies (a tumor is pressing on an area causing an obstruction = life threatening complications.) Superior Vena Cava Syndrome Spinal Cord Compression Most common causes are: LUNG CA; lymphomas The vena cava is obstructed by a large mediastinal mass o Metabolic Emergencies SIADH Hypercalcemia TLS DIC Obstructive Emergencies o Superior Vena Cava Syndrome S/Sx : facial swelling, dark red look to skin, SOB due to pressure on trachea; SOB especially when bending over or lying down; periorbital edema, distention of veins of the neck, chest; arms swelling; headache: worsens when leaning over, dizziness; seizures Diagnostics: Mediastinal mass is often visible on chest x-ray Tx: Targeted Radiation to site immediately to shrink the tumor and relieve some of the pressure and increase perfusion/often initiate chemo concurrently, anticoagulation, diurectics Nsg: elevate HOB; O2; pain assess/ pain management; assess perfusion; decrease mobility (decrease cardiac load/cardiac demand); provide assist w/ all adls; These patients exhibit increased anxiety-treat anxiety (valium), relaxation techniques/guided imagery, etc.; I/Os o Spinal Cord Compression Tumor in the epidural space of the spinal cord causing compression on the spinal cord = neuro s/sx Most common tumors causing this? : breast, lung, prostate, GI, melanoma, renal; lymphomas if they invade the epidural space S/SX: back pain: intense, localized, persistent-often worse with movement or when lying down/change in position
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  • Spring '14
  • Brinkley
  • Oncology, Disseminated intravascular coagulation

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