Sepsis & DIC
FIB: Sepsis and shock can lead to ___ problems
coagulation
List one s/s of SIADH (Hint: fluid overload)
bounding pulse, JVD, crackles, peripheral edema, reduced urine output
This is usually the first s/s for spinal cord compression
back pain
These are early s/s of superior vena cava syndrome
angioedema, dyspnea, erythema, epistaxis
Tumor lysis syndrome occurs when…
tumor cells are destroyed rapidly and dumped into blood stream
This is the best management for sepsis or DIC
prevention
These are the most serious complications of SIADH
cerebral edema, dilutional hyponatremia
These are other s/s that may indicate spinal cord compression (answers may vary)
neurologic changes, weakness, numbness, tingling, nerve deficits etc
These are late s/s of superior vena cava syndrome
hemorrhage, cyanosis, ALOC, decreased CO, hypotension
Tumor lysis syndrome typically occurs with these type of cancers
blood, lymphomas, cancers that respond WELL to tx
The nurse can expect this tx for a pt with sepsis and DIC
IVABX, anticoagulants
This can be expected as part of SIADH prevention
fluid restriction, increase Na+ intake, demeclocycline
These are some s/s of HYPERcalcemia (answers may vary)
severe muscle weakness, loss of DTR, paralytic ileus, dehydration
The nurse can expect these dx tests to assess for superior vena cava syndrome
CT, MRI
This is the most deadly complication from tumor lysis syndrome
hyperkalemia (deadly dysrhythmias)
These are general s/s of sepsis
s/s of active infection (?)
SIADH occurs due to ___ by the kidneys
water reabsorption
Pt’s with this type of cancer have the highest risk of hypercalcemia
bone
Since the superior vena cava is a ___, it can lead to a backup in systemic circulation
vein
Collaborative management of tumor lysis syndrome will include
prevention, HYPER hydration, drug therapy
A pt with DIC asks the nurse why they’re at risk for bleeding if they are presenting clotting. What is an appropriate response by the nurse?
microclots take up all clotting factors, not enough when bleeding occurs
This type of cancer is a specific risk for SIADH
small cell lung cancer
This specific management can be expected for a pt presenting s/s of hypercalcemia
HYPER HYDRATE
If a pt begins presenting s/s of superior vena cava syndrome, the nurse knows to perform this priority intervention
prepare for surgery
Tumor lysis syndrome can increase these two electrolytes
potassium, phosphorus