Exam (elaborations)
Nursing 22: Oncology (Oncological Emergencies) – Questions & Correct Answers
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Nursing 22: Oncology (Oncological Emergencies) – Questions & Correct Answers
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Nursing 22: Oncology (Oncological Emergencies)– Questions & Correct Answers
Oncological Emergencies ✔️Ans - These are medical situations that take
priority over anything else going on. They include:
- Sepsis
- DIC
- SIADH
- Spinal Cord Compression
- Superior vena Cava Syndrome
- Tumor Lysis Syndrome
- Hypercalcemia (as well as Hypocalcemia)
- Intractable Pain
Sepsis ✔️Ans - This is an oncological emergency where a patient goes
into septic shock. With this, you must obtain a blood and urine culture FIRST,
then give an antibiotic.
You are looking for a band shift to the left
Disseminated Intravascular Coagulation (DIC) ✔️Ans - This is an
oncological emergency caused by a gram negative infection (like from Raw
Fruits and veggies)
- It is an abnormal clot formation in microthrombi, leading to mulit organ
system failure and death
DIC Signs and Symptoms ✔️Ans - These include
- Peechia, echymosis, bleeding, hemorrhage, oliguria, convulsion
- PT & PTT - PROLONGED
- Platelets and Fibrinogen - DECREASED
DIC Patient Care ✔️Ans - This includes:
- An attempt to measure blood loss
- Labs
- Wound care, pressure to the site
- Turn and Position
- Frequent mouth care
- Antibiotics AFTER a culture
- Emotional support
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