Exam 4: Oncological Emergencies Flashcards
when tumors cause the release or synthesis of ADH
SIADH
what medication do you administer for SIADH
declomycin
what is declomycin
tetracycline ATB; causes sodium levels in the blood to rise slowly (rather than IV fluids with sodium raising levels faster)
is declomycin treating an infection
no - using it for its side effects
the tumor is putting pressure on the spinal cord
spinal cord compression
clots everywhere inside the body
DIC
how long do you stay with the patient after giving FFP or cryoprecipitate
15 minutes
how often do we take vitals for patient getting FFP/ cryoprecipitate
Q15 minutes
what medications do you give to a patient with hypercalcemia
calcitonin & bisphosphonate
what is calcitonin
regulates calcium release, decreases calcium production
how can bisphosphonates be given
IV or PO
what is an example of a bisphosphonate
zoledronic acid (only given IV)
SVC drains the blood from the upper body, if a tumor blocks this drainage, there is a buildup of blood in the upper body
SVC syndrome
what are signs and symptoms of SVC syndrome
JVD
decreased LOC
increased ICP
periorbital edema
treatment for increased ICP
mannitol
when a large number of tumor cells die all at once, the amount of waste builds up
tumor lysis syndrome
tumor lysis syndrome means what
cancer treatment is working!
what labs do we get with tumor lysis syndrome
Uric acid (increased)
phosphate (increased)
potassium (increased)
how do we treat increased uric acid
allopurinol and rasburicase
how do we treat hyperphosphatemia
aluminum hydroxide (tums)
how do we treat hyperkalemia
polystyrene solfunate
