Show:
DIC
Hypercalcemia
Spinal Cord Compression
Superior Vena Cava Syndrome
Tumor Lysis Syndrome
100
Can be acute or chronic
What is DIC?
100
Invasion of bone by cancer, releasing calcium from bone
What is a cause of Hypercalcemia
100
Metastatic tumor in the vertebral body expands into the epidural space and compresses the spinal cord.
What is one of the causes of spinal cord compression?
100
Chest MRI or CT
How to diagnose Superior Vena Cava Syndrome?
100
Monitor electrolytes, baseline and daily or as ordered, monitor intake/output.
What is nursing management of tumor lysis syndrome?
200

APL: Acute promyelocytic leukema

AML:  Acute myeloid leukemia


What are diseases associated with developing DIC
200
Lab values that include parathyroid hormone and an EKG
How to diagnose Hypercalcemia?
200
Bone Scan, CT Scan, X-ray of spine
How to diagnose spinal cord compression?
200
Venous congestions and drainage in the upper thorax
What is Superior Vena Cava Syndrome?
200
Labs: Potassium, phosphorus, uric acid, calcium, BUN and creatinine levels
How to diagnose tumor lysis syndrome?
300
Anxiety, restlessness, abdominal pain, change in mental status, rapid onset of bleeding from at least three unrelated sites.
What are clinical manifestations of acute DIC
300
Bisphosphonates to prevent bone resorption
What is clinical management of Hypercalcemia?
300
Radiation, steroids, surgery
What are treatments for spinal cord compression?
300
Tumor invasion, venous access device placement, thoracic primary or metastatic cancers.
What are causes of superior vena cava syndrome?
300
Results from rapid tumor breakdown that occurs in response to anticancer treatment. 
What is tumor lysis syndrome?
400
Treat underlying cause, fluid replacement, blood products, plasmapheresis, mangement of clotting/bleeding
What is clinical management of DIC?
400
lethargy/weakness, nausea constipation, polyuria, thirst and hypoactive deep tendon reflexes
What is a clinical manifestation of Hypercalcemia?
400
back pain, motor weakness, bowel and bladder dysfunction, paralysis, sensory loss
What are clinical manifestations of Spinal Cord Compression?
400
Dyspnea is the most common syptom along with facial swelling.
What are clinical manifestations of superior vena cava syndrome.
400
IV hydration, allopurinol or rasburicase, close monitoring and treatment of electrolyties, dialysis
What is clinical management of Tumor Lysis Syndrome?
500
Prevent/manage activities that increase risk for falls, monitor fluid status, mental status, vs, and respiratory pattern, all orifices and invasive devices for bleeding/oozing
What is nursing management for DIC?
500
Ensure adequate IV and oral hydration, assess bowel statud and ensure regular evacuation.
What is nursing management of hypercalcemia?
500
Bed rest, pain assessment and management, bowel and bladder assessment and management, treatment related symptom management
What is nursing management for spinal cord compression?
500
Radiation therapy, surgery, chemotherapy, thrombolytic therapy
What are treatments for superior vena cava syndrome?
500

Elevated potassium, phosphorus, and uric acid

decreased calcium levels

What is clinical manifestations of tumor lysis syndrome?