Metabolic Emergencies
Neurologic Emergencies
Cardiovascular Emergencies
Respiratory Emergencies
GI/GU & Blood & Chemo... OH MY!
100

Three main metabolic emergencies seen in oncologic conditions include tumor lysis syndrome, _________, and _________. 

SIADH and hypercalcemia 

100

Risk factors for spinal cord compression include? 

Liquid tumors 

Solid tumors with bony metastases- such as prostate, lung, breast, renal cell 

100

What are the two main cardiac emergencies we are worried about? 

Cardiac tamponade 

Superior vena cava syndrome 

100

What are two diagnostic tools we can use for respiratory emergencies? 

Bronchoscopy 

Biopsy 

100

Gloria, a cancer floof, has a sudden onset of hematuria with combined bladder pain and irritative bladder symptoms. Her mommy thinks she may have which condition? 

Hemorrhagic cystitis 

200

Symptoms of hyperphosphatemia, a complication of tumor lysis syndrome, include _____, _______, and _______. 

oliguria, anuria, azotemia 

200

Describe the pathophysiology of spinal cord compression. 

From rapidly growing mass pressing against spinal cord 

Results in collapse of vertebrae 

Most commonly caused by bone metastasis in spine

30% patients will have metastases in >1 area of the spine 

200

How many ml of fluid usually sits between visceral (serous) and fibrous parietal layers? 

How many ml of fluid is present in cardiac tamponade? 

50 mL 


As little as 200 mL 

200

T/F we can use laser vaporization, stents, photodynamic therapies, cryotherapies, and endobronchial brachytherapy for airway obstruction treatment? 

True 

200

Gloria develops anemia from her hemorrhagic cystitis. The vet recommends what treatment? 

Blood transfusion 

300

Four main risk factors for SIADH include: 

Small-cell lung cancer (60%) 

Pancreatic 

Prostate

Brain cancers 

300

What is the gold standard for spinal cord compression diagnostics? 

MRI

300

What is the MOST common symptom of cardiac tamponade? 

Exertional dyspnea- occurs in 80% of patients 

300

In massive hemoptysis, how many mL of blood will we see over 24 hr period? 

At what rate is the bleeding? 

> 500 mL 


Bleeding rate > 100mL/hour 

300
Shelbi has a urinary tract obstruction from a direct tumor invasion. There are three interventions that may be considered. They are? 

Ureteral stenting 

Nephrostomy 

Bladder catherization 

400

SIADH diagnostics: 

Serum Na < _____ mmol/L 

Urina Na > _____ mmol/L 

130 

20 

Urine osmolality exceeds that of plasma 

400

When giving high dose steroids for spinal cord compression, what drug are we using specifically? 

Dexamethasone 

400

What is Beck's triad? Which condition does Beck's triad apply to? 

Hypotension 

Increased jugular venous pressure 

Decreased heart sounds 

400
In radiation therapy for toxic lung injury, what element do we use? 

Cobalt 

"Coby is a baller, and he's toxic for your heart" 

400

Sophia has neutropenic enter-colitis. She understands this condition is transmural ______ of the cecum. 

inflammation 

500

Hypercalcemia Diagnostics: 

Calcium > ____ mg/dl 

Are K, Na, and PO4 increased or decreased? 

Are BUN and Creatinine increased or decreased? 

11

Decreased 

Increased 

500

Dermatomes- what are they??

Area of body innervated by specific set of nerves 

500

Name at least three interventions used to treat SVCS 

Elevate HOB 

Corticosteroids 

Diuretics 

Thrombolysis

Stents 

Bypass surgery 


500

Gloria is tacking arsenic trioxide chemotherapy drugs. She develops toxic lung injury. Shelbie, as her astute owner, understands that which action must be taken (SATA): 

a. Consult vet about discontinuation of drug 

b. Suggest a fluid bolus be given to gloria 

c. Pet her, cuddle her, and give her a kiss 

d. Institute supportive care 

A, C, D 

500

Hematological emergencies can consist of bleeding, thrombosis, and _____. In Chemo induced emergencies, ________ can occur. This is when there is infiltration of chemo drug into the tissues. 

DIC 

Extravasation 

Click to zoom
M
e
n
u